Nicholas Michael Poulos, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9795 Issued in CO

Practice address

700 N Broadway Ste 1135
Denver, CO 80203-3444

Phone

(303) 832-4867

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poulos & Somers PC

  dba Silberman, Poulos & Somers

  • Periodontics
  • Denver, CO
  • NPI 1619961844
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1750505814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BROADWAY STE 1135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033444",
            "telephone_number": "303-832-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BROADWAY STE 1135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033444",
            "telephone_number": "303-832-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1459 Laney Walker Blvd",
            "address_2": "AD 2809",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120002",
            "country_code": "US",
            "telephone_number": "706-721-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULOS",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN013389",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "9795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Poulos & Somers PC (Silberman, Poulos & Somers)
• Michael N Poulos, D.M.D.,M.S.
• Diane Marie Poulter, MS, FNP
• Scott Poulton
• Linda Pounds, LMFT
• Kristin Mabel Elizabeth Powell-Sellers, MD
• Alison Powell, RD

• Periodontics in Denver, CO
• Providers in Denver, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.