Active NPI
Forrest D W Groves III, BA DDS
- Public Health Dentistry
- Boulder, CO
National Provider Identifier
1730180506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 5151
- Practice address
- 3000 Center Green Dr
Suite 240
Boulder, CO 80301-2364 - Phone
- (303) 442-4895
- Fax
- (303) 442-7341
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 5151 | CO | Primary |
Addresses
Primary practice location
3000 Center Green Dr
Suite 240
Boulder, CO 80301-2364
Mailing address
3000 Center Green Dr
Suite 240
Boulder, CO 80301-2364
Phone (303) 442-4895
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1730180506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR",
"address_2": "SUITE 240",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-442-4895",
"fax_number": "303-442-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR",
"address_2": "SUITE 240",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-442-4895",
"fax_number": "303-442-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "FORREST",
"middle_name": "D W",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "BA DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CO",
"license": "5151",
"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 May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.