MR. CHRISTOPHER FREDERICK (NPI# 1770731762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770731762 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER FREDERICK |
| Credential | DMD |
| Practice Address |
350 Broadway St Ste 10 Boulder CO 80305-3300 |
| Mailing Address |
1540 Grove St Apt 3 Boulder CO 80302-6376 |
| Practice Telephone | 3034948200 |
| Practice Fax Number | 3034942281 |
| Mailing Telephone | 3035882468 |
| Mailing Fax Number | 3034942281 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9764 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164639878 | Christopher Frederick | Physical Therapist | 2525 S Rural Rd Ste 4n, Tempe, AZ 85282-2442 | 2007-05-16 |
| 1265892558 | Christopher Sean Frederick | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-02-29 |
| 1831533850 | Christopher L Frederick | Pharmacist | 4090 E Galbraith Rd, Deer Park, OH 45236-2324 | 2013-04-21 |
| 1689936791 | Christopher Frederick | Psychiatry & Neurology | 1941 East Rd, Houston, TX 77054-6010 | 2012-06-13 |
| 1336429596 | Christopher Robert Frederick | Pharmacy Technician | 2313 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2011-08-19 |
| Street Address |
350 BROADWAY ST STE 10 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417097213 | Stephen Michael Travis | Dentist | 350 Broadway St Ste 10, Boulder, CO 80305-3300 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| 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 |
| 1457661647 | Corbett W Summers Dds | Dentist | 777 29th St., Suite 300, Boulder, CO 80303 | 2010-10-21 |
| 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.