Boulder Restorative Dentistry

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

BOULDER RESTORATIVE DENTISTRY

Practice address

350 Broadway St Ste 201
Boulder, CO 80305-3338

Phone

(303) 494-7110

Fax

(303) 554-1168

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Anna Pitz, DDS

Title

Prosthodontist

Phone

(303) 494-7110

Specialties & licenses 1

Addresses

Other names 1

• Gordon Gates DDS Former legal business name

Locations

Practitioners 1

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

• Gordon N Gates, D.D.S.

  • Prosthodontics
  • Boulder, CO
  • NPI 1922140219
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1730764549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "303-494-7110",
            "fax_number": "303-554-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "303-494-7110",
            "fax_number": "303-554-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER RESTORATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "PITZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "303-494-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Gates DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Boulder Plastic Surgery Prof LLC
• Boulder Pride Dba Rocky Mountain Equality
• Boulder Pride Dba Rocky Mountain Equality
• Boulder Radiologists Inc P C
• Boulder Relationship Institute, LLC
• Boulder Rover Physical Therapy LLC
• Boulder Rural Fire Protection District
• Boulder Senior Adcocates
• Boulder Shelter for the Homeless, Inc. Dba All Roads
• Boulder Smiles

• Prosthodontics in Boulder, CO
• Providers in Boulder, CO by specialty
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.