Larry Eckstein, M.D., P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

33042 Issued in CO

Legal business name

LARRY ECKSTEIN, M.D., P.C.

Practice address

2760 29TH St
Suite 2-D
Boulder, CO 80301-1214

Phone

(303) 546-9158

Fax

(303) 546-9107

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Larry Eckstein, M.D.

Title

President

Phone

(303) 917-2612

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1932340494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2-D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY ECKSTEIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-917-2612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "33042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01330422",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "33042",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "A44118",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Airin Lara
• Eleanor Lucy Larbalestier, MA
• Kayla Lard
• Alison Larkin, L.C.S.W
• Vanessa Rochelle Larrick, M.S. O.T.
• Andrew Larsen, BA, MLS, CHI, CMI
• Craig G Larson, DDS
• Joyce Larson
• Megan Cronin Larson, LCSW
• Susan A Larson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.