Boulder Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOULDER SMILES

Doing business as

Boulder smiles

Practice address

1636 16TH St
Boulder, CO 80302-6356

Phone

(303) 443-4417

Fax

(303) 443-1206

NPI assigned

Aug 12, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandria Balich, DDSNPI 1043627821

Title

General Dentist

Phone

(720) 546-3575

Specialties & licenses 1

Addresses

Other names 1

• Boulder smiles Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandria Marie Balich, D.D.S

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1043627821
  NPD Authorized official
• Mark Joseph Birnbach, DMD

  • Dentist
  • Boulder, CO
  • NPI 1598788788
  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1891423208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 16TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026356",
            "telephone_number": "720-546-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 16TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026356",
            "telephone_number": "303-443-4417",
            "fax_number": "303-443-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "BALICH",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "720-546-3575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boulder smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boulder Restorative Dentistry
• Boulder Rover Physical Therapy LLC
• Boulder Rural Fire Protection District
• Boulder Senior Adcocates
• Boulder Shelter for the Homeless, Inc. Dba All Roads (All Roads)
• Boulder Somatic Therapy
• Boulder Sport and Spine PLLC
• Boulder Sports Acupuncture
• Boulder Sports Chiropractic
• Boulder Therapeutics, Inc.

• 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 Sep 7, 2022; 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.