Dakota Ridge Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAKOTA RIDGE FAMILY MEDICINE, PC

Practice address

2995 Baseline Rd
Suite 210
Boulder, CO 80303-2318

Phone

(303) 443-2544

Fax

(303) 443-6476

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Vickie E McCay

Title

Office Manager

Phone

(303) 443-2544

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• William Harold Dodson III, MD

  • Family Medicine Physician
  • Boulder, CO
  • NPI 1548277593
  NPD
• Karin B Graff, M.D.

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1366407728
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1720043888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "303-443-2544",
            "fax_number": "303-443-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "303-443-2544",
            "fax_number": "303-443-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA RIDGE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MCCAY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-443-2544"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83482270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Daarud, M.D.
• Lauren M Dachman
• Jessica Dacic
• Cynthia E. Dafler, MD
• Rebekah Anne Dahl, PHARMD
• Alexis Dalager, AUD
• Rachel Dale, PHD
• Molly Elizabeth Dalpes
• Meredith Dalton
• John Daly

• Family Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.