Active NPI
Andrea Irarrazabal, D.M.D.
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1497098974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00204303
- Practice address
- 3216 Arapahoe Ave
Boulder, CO 80303-1043 - Phone
- (303) 442-5000
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059671 | NY | |
| General Practice Dentistry | 1223G0001X | 00204303 | CO | Primary |
Addresses
Primary practice location
3216 Arapahoe Ave
Boulder, CO 80303-1043
Mailing address
3161 Quitman St
Denver, CO 80212-1457
Phone (954) 610-0117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00204303 | CO | MD | General Practice Dentistry |
| 059671 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gramercy Smiles | Past | Accepting new patients | |
| Gramercy Smiles Dental | General Practice | Past | Accepting new patients |
| Boulder Dental Center Arapahoe,P.C | Past | Accepting new patients |
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.
-
- Dentist
- Boulder, CO
- NPI 1265979769
-
- Dentist
- New York, NY
- NPI 1467918805
-
- General Practice Dentistry
- New York, NY
- NPI 1518431469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1497098974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 QUITMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802121457",
"telephone_number": "954-610-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031043",
"telephone_number": "303-442-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRARRAZABAL",
"first_name": "ANDREA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059671",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00204303",
"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 11, 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.