DR. DANIEL E BOEDEKER (NPI# 1851357149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851357149 |
| Entity Type | Individual |
| Full Name | DR. DANIEL E BOEDEKER |
| Credential | DDS |
| Practice Address |
527 W Platte Ave Fort Morgan CO 80701-2654 |
| Practice Telephone | 9708674477 |
| Practice Fax Number | 9708674499 |
| Mailing Telephone | 9708674477 |
| Mailing Fax Number | 9708674499 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10147 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | TAX ID | 274452081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225086945 | Daniel James Boedeker | Neurological Surgery | 6767 S Yale Ave, Suite A, Tulsa, OK 74136-3302 | 2006-05-05 |
| Street Address |
527 W PLATTE AVE |
| City | FORT MORGAN |
| State | CO |
| Zip Code | 80701-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568863223 | Colorado Plains Oral & Maxillofacial Surgery P.C. | Clinic/Center | 527 W Platte Ave, Fort Morgan, CO 80701-2654 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376057091 | Michael Bauer | Occupational Therapist | 1000 Lincoln St # Cs4200, Fort Morgan, CO 80701 | 2017-11-17 |
| 1598125262 | Mh Health Care Services, PC | Nurse Practitioner | 1997 East Platte Ave, Suite B, C/o Cargill Employee Health Center, Fort Morgan, CO 80701 | 2016-02-24 |
| 1083091896 | Monica Armijo | Social Worker | 650 E. Walniut, Elizabeth, CO 80701 | 2015-04-30 |
| 1548546179 | David Allen Strand | Pharmacist | 111 East Platte, Fort Morgan, CO 80701 | 2011-10-27 |
| 1780969741 | James Howard Armstrong | Pharmacist | 111 E. Platte Ave, Fort Morgan, CO 80701 | 2011-10-20 |
| 1578880803 | Jean Marie Collins | Counselor | 910 E. Railraod, Fort Morgan, CO 80701 | 2010-04-26 |
| 1811133770 | Charles James Avery | Counselor | 410 Railroad Ave., Fort Morgan, CO 80701 | 2008-12-24 |
| 1306098710 | Stephen Michael Mitchell | Pharmacist | 110 W.platte Ave, Ft.morgan, CO 80701 | 2008-10-16 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1629240106 | Annette Kay Smith | Counselor | 205 E 6th Ave, Fort Morgan, CO 80701 | 2008-03-25 |
| Find all providers in zip 80701 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT MORGAN |
| Zip Code | 80701 |
Please comment or provide details below to improve the information on DR. DANIEL E BOEDEKER.
| 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.