Active NPI
Daniel B Foley, D.D.S., P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Boulder, CO
National Provider Identifier
1851433932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 104871
- Practice address
- 1440 28TH St
Ste. 2
Boulder, CO 80303-1030 - Phone
- (303) 444-2255
- Fax
- (720) 565-1091
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 104871 | CO | Primary |
Addresses
Primary practice location
1440 28TH St
Ste. 2
Boulder, CO 80303-1030
Mailing address
1440 28TH St
Ste. 2
Boulder, CO 80303-1030
Phone (303) 444-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104871 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851433932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 28TH ST",
"address_2": "STE. 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031030",
"telephone_number": "303-444-2255",
"fax_number": "720-565-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 28TH ST",
"address_2": "STE. 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031030",
"telephone_number": "303-444-2255",
"fax_number": "720-565-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "DANIEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CO",
"license": "104871",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.