Lisa Anne Sheldon Coburn, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9064 Issued in CO

Practice address

2430 Broadway St Ste 101
Boulder, CO 80304-4118

Phone

(303) 786-8899

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lisa Anne Sheldon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.coburn.1@31554.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Halek and Rathburn Partnership

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1134328834
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1346462371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 7TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043015",
            "telephone_number": "303-653-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 BROADWAY ST STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044118",
            "telephone_number": "303-786-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "LISA",
        "middle_name": "ANNE SHELDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SHELDON",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coalta Therapy and Wellness
• Breanne Coates, DC
• Megan Coatley, M.A., BCBA
• Tracy Lee Cobb, LPC
• Yasmina M. Cobrinik, LPCC, NCC, M.ED.
• Samuel Cochran, BSW
• Suzita Cochran, PHD
• Coco Eye Surgery Boulder, PLLC
• Esme Cody, L.AC.
• Sarah Jane Coffey, LPCC

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.