CORBETT W SUMMERS DDS (NPI# 1457661647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457661647 |
| Entity Type | Organization |
| Organization Name | CORBETT W SUMMERS DDS |
| Practice Address |
777 29th St. Suite 300 Boulder CO 80303 |
| Practice Telephone | 3034426141 |
| Practice Fax Number | 3035455669 |
| Mailing Telephone | 3034426141 |
| Mailing Fax Number | 3035455669 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | CORBETT W SUMMERS (OWNER) |
| Authorized Official Telephone | 3034426141 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5129 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1548480486 | 05 |
| Street Address |
777 29TH ST. SUITE 300 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1780235713 | Jeremy Richard Altdorfer | Dentist | 1933 28th St Ste 204, Boulder, CO 80301-1100 | 2019-09-20 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1508243775 | Alyssa Ellsworth | Dentist | 4150 Darley Ave Ste 3, Boulder, CO 80305-6537 | 2015-04-27 |
| 1982008546 | Kenneth Warren Ostrov | Dentist | 661 S Broadway St, Boulder, CO 80305-5926 | 2014-10-10 |
| 1952718553 | David P. Stangl, Jr., Dmd, Professional LLC | Dentist | 2880 Folsom St Ste 202, Boulder, CO 80304-3769 | 2014-07-15 |
| 1497098974 | Andrea Irarrazabal | Dentist | 3216 Arapahoe Ave, Boulder, CO 80303-1043 | 2013-04-02 |
| 1770835118 | Gary Raymond Hubiak | Dentist | 810 36th St, Boulder, CO 80303-2440 | 2012-10-09 |
| 1427316215 | Anil P Nutakki | Dentist | 1840 Folsom St Ste 301, Boulder, CO 80302-5712 | 2012-04-30 |
| 1417264177 | Rochelle Acoba Manangkil | Dentist | 2100 28th St, 4f, Boulder, CO 80301-1106 | 2010-09-01 |
| Find all providers in BOULDER | ||||
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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.