NPIMap

Organization Active NPI

Boulder Dental Center Arapahoe,P.C

  • Dentist
  • Boulder, CO
National Provider Identifier
1265979769
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9598 Issued in CO
Legal business name
BOULDER DENTAL CENTER ARAPAHOE,P.C
Practice address
3216 Arapahoe Ave
Boulder, CO 80303-1043
Phone
(303) 442-5000
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Danny Abboud
Title
President
Phone
(303) 442-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9598 CO Primary

Addresses

Primary practice location

3216 Arapahoe Ave
Boulder, CO 80303-1043

Mailing address

1610 Canyon Blvd
Boulder, CO 80302-5407

National Provider Directory

National Provider Directory

Locations

3216 Arapahoe Ave
Boulder, CO 80303
Phone (303) 442-5000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1265979769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031043",
            "telephone_number": "303-442-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER DENTAL CENTER ARAPAHOE,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-442-5000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9598",
            "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 Jan 23, 2017; 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.