Emmanuel Rellosa De la Paz II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7271 Issued in CO

Practice address

3775 Iris Ave
Suite 3a
Boulder, CO 80301-2043

Phone

(303) 442-4235

Fax

(303) 442-4581

NPI assigned

Mar 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902923865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 IRIS AVE",
            "address_2": "SUITE 3A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012043",
            "telephone_number": "303-442-4235",
            "fax_number": "303-442-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 IRIS AVE",
            "address_2": "SUITE 3A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012043",
            "telephone_number": "303-442-4235",
            "fax_number": "303-442-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PAZ",
        "first_name": "EMMANUEL",
        "middle_name": "RELLOSA",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Day, LPC
• Moriah Lynn Day
• Sharon Day
• Dcbpt LLC
• Santiago De la Garza, M.D.
• Haydee Alexis De Los Santos
• Rae Sidereal De Lune, PSY.D.
• Monica De Valenzuela
• Carolyn Dean
• Janet Dean, MSW

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• 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.

Verify at the official NPI Registry.