Individual provider Active NPI

Lindsey Iris Deol, DDS

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1619144615
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9653 Issued in CO
Practice address
4895 Riverbend Rd
Boulder, CO 80301-2640
Phone
(720) 279-9098
NPI assigned
May 9, 2008
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9653 CO Primary

Addresses

Primary practice location

4895 Riverbend Rd
Boulder, CO 80301-2640

Mailing address

4895 Riverbend Rd
Boulder, CO 80301-2640
Phone (720) 279-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9653COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey Deol DDS PLLC Current Accepting new patients

Locations

13952 Denver West Pkwy
Ste 305
Lakewood, CO 80401
Phone (720) 604-1822

10050 W 41st Ave
Unit 102
Wheat Ridge, CO 80033
Phone (303) 940-5659

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1619144615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 RIVERBEND RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012640",
            "telephone_number": "720-279-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 RIVERBEND RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012640",
            "telephone_number": "720-279-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOL",
        "first_name": "LINDSEY",
        "middle_name": "IRIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9653",
            "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 Dec 13, 2016; 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.