Organization Active NPI

TBD Health Inc.

  • Primary Care Clinic/Center
  • Boulder, CO
National Provider Identifier
1609565498
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TBD HEALTH INC.
Practice address
1030 55TH St
Boulder, CO 80303-2930
Phone
(720) 771-1095
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Stephanie Estey
Title
Co-Founder; Co-Ceo
Phone
(720) 771-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1030 55TH St
Boulder, CO 80303-2930

Mailing address

680 E Main St # 1108
Stamford, CT 06901-2113

National Provider Directory

National Provider Directory
Tax ID family
TBD Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

680 E Main St
#1108
Stamford, CT 06901

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1609565498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST # 1108",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 55TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032930",
            "telephone_number": "720-771-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBD HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "ESTEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-FOUNDER; CO-CEO",
        "authorized_official_telephone_number": "720-771-1095"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 May 5, 2023; 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.