Individual provider Active NPI

Ryan Levi Ulibarri, DDS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1477854396
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202189 Issued in CO
Practice address
4745 E Boardwalk Dr Unit C2
Fort Collins, CO 80525-3769
Phone
(970) 224-5599
Fax
(970) 224-0731
NPI assigned
Nov 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN00202189 CO
Dentist 122300000X DEN.00202189 CO Primary

Addresses

Primary practice location

4745 E Boardwalk Dr Unit C2
Fort Collins, CO 80525-3769

Mailing address

4745 Boardwalk Dr Unit C2
Fort Collins, CO 80525-3769
Phone (970) 224-5599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rulibarri@dentistoffortcollins.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DEN.00202189COMDDentist
DEN00202189COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Levi Ulibarri DDS CurrentSince Apr 6, 2023 Accepting new patients
Ryan L Ulibarri DDS, PC Dentist Past Accepting new patients
Joel Horton DMD PLLC PastSince Jul 20, 2021 Accepting new patients

Locations

4745 Boardwalk Dr
Unit C2
Fort Collins, CO 80525
Phone (970) 224-5599

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1477854396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR UNIT C2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-224-5599",
            "fax_number": "970-224-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 E BOARDWALK DR UNIT C2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-224-5599",
            "fax_number": "970-224-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "RYAN",
        "middle_name": "LEVI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00202189",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rulibarri@dentistoffortcollins.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4745 East Boardwalk Dr.",
            "address_2": "C-2",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.