NPIMap

Organization Active NPI

Elliott B. Higgins D.M.D. P.C.

Doing business as Pearl Street Dental

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1609205525
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELLIOTT B. HIGGINS D.M.D. P.C.
Doing business as
Pearl Street Dental
Practice address
2575 Pearl St
Suite 200
Boulder, CO 80302-3868
Phone
(303) 443-3177
Fax
(303) 443-3611
NPI assigned
Nov 1, 2013
Last updated
Nov 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Dr. Elliott B Higgins Jr., D.M.D.NPI 1235140518
Title
President
Phone
(303) 443-3771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Dental Hygienist 124Q00000X NU

Addresses

Primary practice location

2575 Pearl St
Suite 200
Boulder, CO 80302-3868

Mailing address

2575 Pearl St
Suite 200
Boulder, CO 80302-3868
Phone (303) 443-3177

Other names 1

  • Pearl Street Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2575 Pearl St
Ste 200
Boulder, CO 80302
Phone (303) 443-3177

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1609205525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023868",
            "telephone_number": "303-443-3177",
            "fax_number": "303-443-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023868",
            "telephone_number": "303-443-3177",
            "fax_number": "303-443-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT B. HIGGINS D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-443-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Street Dental",
            "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 Nov 1, 2013; 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.