Active NPI
Gordon N Gates DDS, MSD, PC
- Prosthodontics
- Boulder, CO
National Provider Identifier
1568694305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 100945
- Legal business name
- GORDON N GATES DDS, MSD, PC
- Practice address
- 350 Broadway St Ste 201
Boulder, CO 80305-3338 - Phone
- (303) 494-7110
- Fax
- (303) 554-1168
- NPI assigned
- Aug 12, 2009
- 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
- Jan Gates, RDH
- Title
- Office Manager
- Phone
- (303) 530-9694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 100945 | CO | Primary |
Addresses
Primary practice location
350 Broadway St Ste 201
Boulder, CO 80305-3338
Mailing address
350 Broadway St Ste 201
Boulder, CO 80305-3338
Phone (303) 494-7110
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Boulder, CO
- NPI 1922140219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250035200000",
"number": "1568694305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BROADWAY ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053338",
"telephone_number": "303-494-7110",
"fax_number": "303-554-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BROADWAY ST STE 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053338",
"telephone_number": "303-494-7110",
"fax_number": "303-554-1168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON N GATES DDS, MSD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "303-530-9694",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "100945",
"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 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.