NPIMap

Organization Active NPI

Boulder Endodontics PC

  • Endodontics
  • Boulder, CO
National Provider Identifier
1740310788
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BOULDER ENDODONTICS PC
Practice address
3100 Arapahoe Ave
Suite 300
Boulder, CO 80303-1093
Phone
(303) 449-6621
Fax
(303) 413-9341
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. George Bruce Douglas, D.D.S.NPI 1033117239
Title
Endodontist
Phone
(303) 449-6621

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X CO Primary

Addresses

Primary practice location

3100 Arapahoe Ave
Suite 300
Boulder, CO 80303-1093

Mailing address

3100 Arapahoe Ave
Suite 300
Boulder, CO 80303-1093
Phone (303) 449-6621

Other identifiers 3

IdentifierTypeStateIssuer
1033117239OtherCOG. BRUCE DOUGLAS, D.D.S.
1740310788OtherCOBOULDER ENDODONTICS, PC
1487652582OtherCOJOSEPH R. PARSONS, D.D.S.

National Provider Directory

National Provider Directory

Locations

3100 Arapahoe Ave
Ste 300
Boulder, CO 80303
Phone (303) 449-6621

Practitioners & affiliated clinicians

Practitioners 3

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1740310788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ARAPAHOE AVE",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031093",
            "telephone_number": "303-449-6621",
            "fax_number": "303-413-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ARAPAHOE AVE",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031093",
            "telephone_number": "303-449-6621",
            "fax_number": "303-413-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "303-449-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G. BRUCE DOUGLAS, D.D.S.",
            "identifier": "1033117239",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOULDER ENDODONTICS, PC",
            "identifier": "1740310788",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOSEPH R. PARSONS, D.D.S.",
            "identifier": "1487652582",
            "state": "CO"
        }
    ],
    "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 Feb 14, 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.

Verify at the official NPI Registry.