NPIMap

Organization Active NPI

Judith Timchula DDS, PC

  • Dental Clinic/Center
  • Boulder, CO
National Provider Identifier
1396131306
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5160 Issued in CO
Legal business name
JUDITH TIMCHULA DDS, PC
Practice address
7490 Clubhouse Rd
Suite 101
Boulder, CO 80301-3720
Phone
(303) 530-1212
Fax
(303) 530-1702
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Judith A Timchula, DDSNPI 1841302361
Title
Owner
Phone
(303) 530-1212

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 5160 CO Primary

Addresses

Primary practice location

7490 Clubhouse Rd
Suite 101
Boulder, CO 80301-3720

Mailing address

7490 Clubhouse Rd
Suite 101
Boulder, CO 80301-3720
Phone (303) 530-1212

National Provider Directory

National Provider Directory

Locations

7490 Clubhouse Rd
Ste 101
Boulder, CO 80301
Phone (303) 530-1212

Practitioners & affiliated clinicians

Practitioners 2

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1396131306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 CLUBHOUSE RD",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013720",
            "telephone_number": "303-530-1212",
            "fax_number": "303-530-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 CLUBHOUSE RD",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013720",
            "telephone_number": "303-530-1212",
            "fax_number": "303-530-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH TIMCHULA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "TIMCHULA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-530-1212",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "5160",
            "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 7, 2015; 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.