Benjamin Daniel Foley, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN.00201912 Issued in CO

Practice address

1420 28TH St Ste 100
Boulder, CO 80303-1081

Phone

(303) 444-2255

Fax

(720) 565-1091

NPI assigned

Apr 8, 2009

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

Opted out of Medicare

Yes, effective Apr 21, 2021 through Apr 21, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1447493309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 28TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031081",
            "telephone_number": "303-444-2255",
            "fax_number": "720-565-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 28TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031081",
            "telephone_number": "303-444-2255",
            "fax_number": "720-565-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Light Hl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-322-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00201912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Flynn, LPC
• John Flynt, LPC
• Marcia Flynt, LPC
• Robyn Ducharme Fogelberg, MSW
• Paul Alan Fohrman, PT OCS
• Daniel B Foley, D.D.S., P.C.
• Annika Fontaine
• Foot & Ankle Care of Boulder, PC
• Foot and Ankle Care of Boulder County
• Foot and Ankle Care of Boulder County, LLC

• Oral and Maxillofacial Surgery (Dentist) in Boulder, CO
• Providers in Boulder, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.