Individual provider Active NPI

Lisa Boals, DVM

  • Veterinarian
  • Littleton, CO
National Provider Identifier
1528330206
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
8674 Issued in CO
Practice address
250 E Dry Creek Road
Suite 106
Littleton, CO 80122-2625
Phone
(303) 794-2697
Fax
(303) 794-0677
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 8674 CO Primary

Addresses

Primary practice location

250 E Dry Creek Road
Suite 106
Littleton, CO 80122-2625

Mailing address

250 E Dry Creek Road
Suite 106
Littleton, CO 80122-2625
Phone (303) 794-2697

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

LicenseStateTypeSpecialty
8674COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1528330206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E DRY CREEK ROAD",
            "address_2": "SUITE 106",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222625",
            "telephone_number": "303-794-2697",
            "fax_number": "303-794-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E DRY CREEK ROAD",
            "address_2": "SUITE 106",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222625",
            "telephone_number": "303-794-2697",
            "fax_number": "303-794-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOALS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CO",
            "license": "8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.