Organization Active NPI

Performance Dental Center PLLC

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1285168146
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10770 Issued in CO
Legal business name
PERFORMANCE DENTAL CENTER PLLC
Practice address
5365 Spine Rd
Ste D
Boulder, CO 80301-3324
Phone
(720) 446-9056
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Nicholas Sigman, DDS
Title
Owner
Phone
(720) 446-9056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10770 CO Primary

Addresses

Primary practice location

5365 Spine Rd
Ste D
Boulder, CO 80301-3324

Mailing address

5365 Spine Rd
Ste D
Boulder, CO 80301-3324
Phone (720) 446-9056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1285168146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 SPINE RD",
            "address_2": "STE D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013324",
            "telephone_number": "720-446-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 SPINE RD",
            "address_2": "STE D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013324",
            "telephone_number": "720-446-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-446-9056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10770",
            "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 Apr 18, 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.