NPIMap

Organization Active NPI

Avanti Skin Center of Boulder

  • Specialist
  • Boulder, CO
National Provider Identifier
1790061562
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33336 Issued in CO
Legal business name
AVANTI SKIN CENTER OF BOULDER
Practice address
2595 Canyon Blvd
Suite 360
Boulder, CO 80302-6745
Phone
(303) 440-7546
Fax
(303) 440-5364
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Steven Schlosser, M.D,
Title
Owner/Medical Director
Phone
(303) 440-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33336 CO Primary

Addresses

Primary practice location

2595 Canyon Blvd
Suite 360
Boulder, CO 80302-6745

Mailing address

2595 Canyon Blvd
Suite 360
Boulder, CO 80302-6745
Phone (303) 440-7546

Other names 1

  • Next Phase Ventures Other name

National Provider Directory

National Provider Directory
Tax ID family
Avanti Skin Center of Boulder2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1790061562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD",
            "address_2": "SUITE 360",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "303-440-7546",
            "fax_number": "303-440-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD",
            "address_2": "SUITE 360",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026745",
            "telephone_number": "303-440-7546",
            "fax_number": "303-440-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI SKIN CENTER OF BOULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-440-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "33336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Phase Ventures",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 25, 2011; 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.