BOULDENT, LLC (NPI# 1316469711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316469711 |
| Entity Type | Organization |
| Organization Name | BOULDENT, LLC |
| Practice Address |
4550 Broadway St Unit C-3e Boulder CO 80304-4801 |
| Practice Telephone | (720) 504-8745 |
| Mailing Telephone | 7205048745 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | DR. DAVID JONATHAN YEATS (GENERAL DENTISTRY) |
| Authorized Official Telephone | 3034442129 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4550 BROADWAY ST UNIT C-3E |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641675 | Toth Family Dental | Clinic/Center | 6700 Lookout Rd Ste 2, Boulder, CO 80301-3313 | 2020-05-19 |
| 1760969059 | Boulder Endodontics Pllc | Clinic/Center | 3100 Arapahoe Ave Ste 300, Boulder, CO 80303-1050 | 2018-07-19 |
| 1396131306 | Judith Timchula Dds, PC | Clinic/Center | 7490 Clubhouse Rd, Suite 101, Boulder, CO 80301-3720 | 2015-04-07 |
| 1164036166 | Peakview Dentistry Pllc | Clinic/Center | 1200 28th St Ste 300, Boulder, CO 80303-1756 | 2020-09-07 |
| 1013568963 | Experience Dental Pllc | Clinic/Center | 1933 28th St Ste 204, Boulder, CO 80301-1100 | 2019-09-23 |
| 1649733585 | Great Smiles Dentistry, LLC | Clinic/Center | 1656 30th St, Boulder, CO 80301-1014 | 2019-04-08 |
| 1790141539 | Integrity Dental of Boulder, Ltd | Clinic/Center | 777 29th St, Ste. #300, Boulder, CO 80303-2358 | 2016-01-09 |
| 1942687926 | Jeffrey H Wong, D.d.s. M.s. | Clinic/Center | 3400 Penrose Pl, Suite 203, Boulder, CO 80301-1809 | 2015-04-29 |
| 1740546100 | Elkhorn Family Dental, LLC | Clinic/Center | 211 North Main Street, Boulder, MT 59632-0512 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669074 | Red House | Clinic/Center | 440 S Lincoln Ave Ste B10, Steamboat Springs, CO 80487-8935 | 2020-11-02 |
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1205435013 | Kids In Need of Dentistry | Clinic/Center | 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 | 2020-10-22 |
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1477151173 | Professional Dental Care of New Mexico | Clinic/Center | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 | 2020-10-14 |
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1316553860 | Willow Creek Perfect Teeth PC | Clinic/Center | 8150 S Quebec St Ste C, Centennial, CO 80112-3186 | 2020-09-21 |
| 1326653841 | Nic - Denver, Pllc | Clinic/Center | 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 | 2020-09-11 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.