Active NPI
Kyle N. Daniel DDS PC
Doing business as Boulder Premier Dentistry
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1538688908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9834
- Legal business name
- KYLE N. DANIEL DDS PC
- Doing business as
- Boulder Premier Dentistry
- Practice address
- 2830 Valmont Rd
Boulder, CO 80301 - Phone
- (303) 444-3232
- Fax
- (303) 444-3242
- NPI assigned
- Sep 16, 2017
- Last updated
- Feb 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Alvarez
- Title
- Office Manager
- Phone
- (303) 444-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9834 | CO | Primary |
Addresses
Primary practice location
2830 Valmont Rd
Boulder, CO 80301
Mailing address
2830 Valmont Rd
Boulder, CO 80301-1310
Phone (303) 444-3232
Other names 1
- Boulder Premier Dentistry
National Provider Directory
National Provider DirectoryLocations
2830 Valmont Rd
Boulder, CO 80301
Phone (303) 444-3232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Boulder, CO
- NPI 1861632044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1538688908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VALMONT RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011310",
"telephone_number": "303-444-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 VALMONT RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-444-3232",
"fax_number": "303-444-3242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYLE N. DANIEL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-16",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "303-444-3232"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder Premier Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.