Malcolm Edward Boone II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104302 Issued in CO

Practice address

1727 Gilpin St
Denver, CO 80218-1205

Phone

(303) 388-1661

NPI assigned

Apr 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mile High Dental Centers

  • General Practice Dentistry
  • Denver, CO
  • NPI 1902024425
  NPD (past)
• My Local Colorado Dental Practice, LLC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1891335964
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205054723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8456 N HEATHER DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089119",
            "telephone_number": "303-799-1715",
            "fax_number": "303-799-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181205",
            "telephone_number": "303-388-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE II",
        "first_name": "MALCOLM",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Booher, APN
• Carl W. Booker, RPH
• Michael Rashad Booker, MD
• Hanna Bookstaff, RN
• Jessica Boon, LPCC
• Linda Sue Boorn, CCH, RSHOM(NA)
• Werner K Boos, PSYD
• Boost Counseling LLC
• Genery Booster, PHD
• Kirsten Bootes, MS

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.