Organization Active NPI

Sanitas Family Dentistry PC

  • Dental Clinic/Center
  • Boulder, CO
National Provider Identifier
1336090513
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANITAS FAMILY DENTISTRY PC
Practice address
767 Pearl St Ste 230
Boulder, CO 80302-5061
Phone
(303) 449-8875
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Authorized official

Name
Dr. Krista Michel Eckhoff Beseda, DDSNPI 1518351113
Title
Owner/Doctor
Phone
(720) 339-8902

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

767 Pearl St Ste 230
Boulder, CO 80302-5061

Mailing address

2804 Ridge Rd
Nederland, CO 80466-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260610001215 CO DME Supplier - Oral Surgery - Dentist 3274004221 Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

767 Pearl St
Ste 230
Boulder, CO 80302
Phone (303) 449-8875

Practitioners & affiliated clinicians

Practitioners 3

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": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772323200000",
    "number": "1336090513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 RIDGE RD",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804669741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PEARL ST STE 230",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025061",
            "telephone_number": "303-449-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANITAS FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "BESEDA",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "MICHEL ECKHOFF",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "720-339-8902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.