Active NPI
John Bethers, D.D.S.
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1801962410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9237
- Practice address
- 2525 28TH St
Suite 140
Boulder, CO 80301-1256 - Phone
- (303) 443-0070
- Fax
- (303) 443-0073
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9237 | CO | Primary |
Addresses
Primary practice location
2525 28TH St
Suite 140
Boulder, CO 80301-1256
Mailing address
3221 Alexander Way
Broomfield, CO 80020-8028
Phone (909) 254-1764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9237 | CO | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Smilez Dental LLC | General Practice | Current | Accepting new patients |
| Colorado Dhca, Boulder, PLLC | General Practice | Past | Accepting new patients |
Locations
2149 E Bridge St
Brighton, CO 80601
Phone (720) 769-3511
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Brighton, CO
- NPI 1891542551
-
dba Dental Health of Boulder, PLLC
- General Practice Dentistry
- Boulder, CO
- NPI 1013052653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801962410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 ALEXANDER WAY",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800208028",
"telephone_number": "909-254-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 28TH ST",
"address_2": "SUITE 140",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011256",
"telephone_number": "303-443-0070",
"fax_number": "303-443-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHERS",
"first_name": "JOHN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9237",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.