Active NPI
Lindsey Iris Deol, DDS
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1619144615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9653
- Practice address
- 4895 Riverbend Rd
Boulder, CO 80301-2640 - Phone
- (720) 279-9098
- NPI assigned
- May 9, 2008
- Last updated
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9653 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.