Organization Active NPI

Ben Greenfield, LLC

  • Health Educator
  • Boulder, CO
National Provider Identifier
1316530983
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
BEN GREENFIELD, LLC
Practice address
3980 Broadway St Ste 103-183
Boulder, CO 80304-1133
Phone
(805) 888-7077
NPI assigned
Feb 15, 2021
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Mr. Ben GreenfieldNPI 1356934012
Title
Owner
Phone
(805) 888-7077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Health Educator 174H00000X Primary

Addresses

Primary practice location

3980 Broadway St Ste 103-183
Boulder, CO 80304-1133

Mailing address

3980 Broadway St Ste 103-183
Boulder, CO 80304-1133

National Provider Directory

National Provider Directory

Locations

3980 Broadway St
Ste 103183
Boulder, CO 80304
Phone (805) 888-7077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1316530983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 BROADWAY ST STE 103-183",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 BROADWAY ST STE 103-183",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041133",
            "telephone_number": "805-888-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN GREENFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-888-7077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "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 Feb 15, 2021; 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.