Anil P Nutakki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

202087 Issued in CO

Practice address

1840 Folsom St Ste 301
Boulder, CO 80302-5712

Phone

(303) 443-1146

NPI assigned

Apr 30, 2012

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1427316215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 FOLSOM ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025712",
            "telephone_number": "303-443-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOLSOM ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025712",
            "telephone_number": "303-443-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTAKKI",
        "first_name": "ANIL",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Nunemaker, M.A.
• Nancy Nunes, L.C.S.W.
• Tamra J Nunez
• Rachel Mallie Nussbaum, L.AC.
• Christopher A Nusser, M.D.
• Nathaniel Calvert Bullard Nutter, DC
• Richard Michael Nuzzi, DC
• Helen Nychka, M.S.
• Lana Nye, LCSW
• Elinor Nygren, LPC

• 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 Aug 1, 2016; 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.