Elliott B Higgins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7133 Issued in CO

Practice address

2575 Pearl St Ste 200
Boulder, CO 80302-3818

Phone

(303) 443-3771

Fax

(303) 443-3611

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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.

• Elliott B. Higgins D.M.D. P.C.

  dba Pearl Street Dental

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1609205525
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235140518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MARINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025832",
            "telephone_number": "303-938-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023818",
            "telephone_number": "303-443-3771",
            "fax_number": "303-443-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ELLIOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Hesterman, LMT
• Sarah Hewes, PH.D., LPC
• Sibyl Rae Cornell Hewitt, PH.D
• Joy Liou Hicks, DMD
• Ellen Hiestand
• Thomas Higgins, M.D.
• High Altitude Spine and Sport
• Higher Sights Counseling
• Lynda Jean Hilburn, LPC
• Timothy Hilden, PT

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, 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.