Active NPI
TBD Health Inc.
- Primary Care Clinic/Center
- Boulder, CO
National Provider Identifier
1609565498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Denver, CO
- NPI 1811674625
-
- Public Health & General Preventive Medicine Physician
- Las Vegas, NV
- NPI 1366137226
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.