Organization Active NPI

Gordon N Gates DDS, MSD, PC

  • Prosthodontics
  • Boulder, CO
National Provider Identifier
1568694305
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
100945 Issued in CO
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

Updated by the provider on Aug 12, 2009

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)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.