Organization Active NPI

Ian M Kott DDS PC

  • Dentist
  • Boulder, CO
National Provider Identifier
1689978637
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9907 Issued in CO
Legal business name
IAN M KOTT DDS PC
Practice address
1440 28TH St
Suite 1
Boulder, CO 80303-1030
Phone
(303) 938-1000
Fax
(303) 938-1001
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Ian Kott, D.D.SNPI 1215009220
Title
Owner
Phone
(303) 938-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9907 CO Primary

Addresses

Primary practice location

1440 28TH St
Suite 1
Boulder, CO 80303-1030

Mailing address

1440 28TH St
Suite 1
Boulder, CO 80303-1030
Phone (303) 938-1000

Other names 1

  • Kott Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1440 28th St
Ste 1
Boulder, CO 80303
Phone (303) 447-0460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1689978637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 28TH ST",
            "address_2": "SUITE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-938-1000",
            "fax_number": "303-938-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 28TH ST",
            "address_2": "SUITE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-938-1000",
            "fax_number": "303-938-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN M KOTT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-938-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kott Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.