Active NPI
Ben Greenfield, LLC
- Health Educator
- Boulder, CO
National Provider Identifier
1316530983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ben Greenfield
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.