Organization Active NPI

North Boulder Dental Partners PLLP

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1861246902
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH BOULDER DENTAL PARTNERS PLLP
Practice address
4550 Broadway St Ste C-3E
Boulder, CO 80304-4801
Phone
(303) 848-2906
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Dominic Evan Philpott, DMDNPI 1053744136
Title
Owner/Partner
Phone
(217) 369-8678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4550 Broadway St Ste C-3E
Boulder, CO 80304-4801

Mailing address

10279 Inspiration Dr
Parker, CO 80138-8546
Phone (217) 369-8678

Other names 1

  • Comfort Dental North Boulder Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1861246902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10279 INSPIRATION DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388546",
            "telephone_number": "217-369-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 BROADWAY ST STE C-3E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044801",
            "telephone_number": "303-848-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BOULDER DENTAL PARTNERS PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PHILPOTT",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "217-369-8678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental North Boulder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2024; 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.