Individual provider Active NPI

Osman Nasreldin, DDS

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1821907502
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00206359 Issued in CO
Practice address
2700 Canyon Blvd Ste 210
Boulder, CO 80302-6712
Phone
(720) 924-2199
NPI assigned
Sep 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN.00206359 CO Primary

Addresses

Primary practice location

2700 Canyon Blvd Ste 210
Boulder, CO 80302-6712

Mailing address

2700 Canyon Blvd Ste 210
Boulder, CO 80302-6712
Phone (720) 924-2199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1821907502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CANYON BLVD STE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026712",
            "telephone_number": "720-924-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CANYON BLVD STE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026712",
            "telephone_number": "720-924-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRELDIN",
        "first_name": "OSMAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206359",
            "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 Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.