Active NPI
Eric Boucher, D.M.D.
- Dentist
- Louisville, CO
National Provider Identifier
1235579269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN00202023
- Practice address
- 339 McCaslin Blvd Ste B
Louisville, CO 80027-2914 - Phone
- (303) 673-0500
- NPI assigned
- Jul 5, 2013
- Last updated
- Jul 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN00202023 | CO | Primary |
Addresses
Primary practice location
339 McCaslin Blvd Ste B
Louisville, CO 80027-2914
Mailing address
339 McCaslin Blvd Ste B
Louisville, CO 80027-2914
Phone (303) 673-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN00202023 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1235579269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 MCCASLIN BLVD STE B",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272914",
"telephone_number": "303-673-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 MCCASLIN BLVD STE B",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272914",
"telephone_number": "303-673-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHER",
"first_name": "ERIC",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN00202023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
- Colleen Janette Bock, D.D.S.
- Robin Bodine, DPT
- Kevin Scott Boehm, M.D.
- James A Bondarovich, D.C.
- Cosette Lynn Boon, M.A.; LPC
- Boulder Community Health (Community Medical Assoc of B.C.H.)
- Boulder Dermatology Clinic, PC
- Boulder Endocrinology Physicians (Boulder Endocrinology PLLC)
- Boulder Medical Center, P.C.
- Boulder Neurology and Concussion PLLC (Boulder Neurology and Concussion)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.