Integrity Dental of Boulder, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5129 Issued in CO

Legal business name

INTEGRITY DENTAL OF BOULDER, LTD

Practice address

777 29TH St
Ste. #300
Boulder, CO 80303-2358

Phone

(303) 442-6141

Fax

(303) 545-5669

NPI assigned

Jan 9, 2016

Organization subpart

No

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

Authorized official

Name

Corbett W Summers IINPI 1548480486

Title

President

Phone

(303) 442-6141

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Corbett William Summers II, DDS

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1548480486
  NPD (past) Authorized official
• Brett Broda, DDS

  • Dentist
  • Boulder, CO
  • NPI 1841605615
  NPD (past)

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1790141539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 IRWIN PL",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166554",
            "telephone_number": "303-442-6141",
            "fax_number": "303-545-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 29TH ST",
            "address_2": "STE. #300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032358",
            "telephone_number": "303-442-6141",
            "fax_number": "303-545-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DENTAL OF BOULDER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "CORBETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-442-6141",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Rehab Consultants Colorado LLC
• Integrated Rehab Consultants Colorado LLC
• Integrating Insights, Inc
• Integrative Mountain Psychiatry LLC
• Integrative Psychiatry Center of Boulder LLC
• Interactive Brain Analysis
• Andrea Irarrazabal, D.M.D.
• Lori A. Irby, CST
• Irelan Chiropractic, P. C.
• James M. Irelan, D.C.

• Dental Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.