James Gerweck DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN00010035 Issued in CO

Legal business name

JAMES GERWECK DMD LLC

Practice address

1150 Maxwell Ave
Boulder, CO 80304-4185

Phone

(720) 328-1375

Fax

(720) 389-9691

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. James Gerweck, DMD

Title

Sole Member

Phone

(720) 328-1375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1962745489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "720-328-1375",
            "fax_number": "720-389-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "720-328-1375",
            "fax_number": "720-389-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES GERWECK DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "GERWECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "720-328-1375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00010035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 3, 2013; 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.