Individual provider Active NPI

Anjuli Nicole Borden, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1649534819
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10758 Issued in CO
Practice address
11550 Ridgeline Dr
112
Colorado Springs, CO 80921-3953
Phone
(719) 344-8616
Fax
(719) 344-8702
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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 10758 CO Primary

Addresses

Primary practice location

11550 Ridgeline Dr
112
Colorado Springs, CO 80921-3953

Mailing address

11550 Ridgeline Dr
112
Colorado Springs, CO 80921-3953
Phone (719) 344-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002325 CO Order and Referring Only - DentistPractitioner - Dentist 5395051478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10758COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Family Dentistry PLLC PastSince Jun 9, 2024 Accepting new patients
Anjuli Borden D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1649534819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 RIDGELINE DR",
            "address_2": "112",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213953",
            "telephone_number": "719-344-8616",
            "fax_number": "719-344-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 RIDGELINE DR",
            "address_2": "112",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213953",
            "telephone_number": "719-344-8616",
            "fax_number": "719-344-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "ANJULI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.