NPIMap

Organization Active NPI

Laycock Dentistry P.C.

  • Dentist
  • Boulder, CO
National Provider Identifier
1184902132
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7068 Issued in TX
Legal business name
LAYCOCK DENTISTRY P.C.
Practice address
4150 Darley Ave
Suite 7
Boulder, CO 80305-6557
Phone
(303) 494-1550
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen W LaycockNPI 1477768299
Title
Owner
Phone
(303) 494-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7068 TX Primary

Addresses

Primary practice location

4150 Darley Ave
Suite 7
Boulder, CO 80305-6557

Mailing address

4150 Darley Ave
Suite 7
Boulder, CO 80305-6557
Phone (303) 494-1550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1184902132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DARLEY AVE",
            "address_2": "SUITE 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056557",
            "telephone_number": "303-494-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DARLEY AVE",
            "address_2": "SUITE 7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056557",
            "telephone_number": "303-494-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYCOCK DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "LAYCOCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-494-1550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.