Organization Active NPI

Jay E Swartzwelter D.D.S.

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1407065733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3215 Issued in CO
Legal business name
JAY E SWARTZWELTER D.D.S.
Practice address
1200 28TH St Ste 300
Boulder, CO 80303-1756
Phone
(303) 417-1644
Fax
(303) 417-1790
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay Elmer Swartzwelter, D.D.S.
Title
Owner
Phone
(303) 417-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3215 CO Primary

Addresses

Primary practice location

1200 28TH St Ste 300
Boulder, CO 80303-1756

Mailing address

1200 28TH St Ste 300
Boulder, CO 80303-1756
Phone (303) 417-1644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407065733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 28TH ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031756",
            "telephone_number": "303-417-1644",
            "fax_number": "303-417-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 28TH ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031756",
            "telephone_number": "303-417-1644",
            "fax_number": "303-417-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY E SWARTZWELTER D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWARTZWELTER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ELMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-417-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3215",
            "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 Aug 22, 2020; 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.