DR. JONATHAN B SMITH (NPI# 1659712206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659712206 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN B SMITH |
| Credential | DDS |
| Practice Address |
3093 Broadway St Boulder CO 80304-3151 |
| Practice Telephone | 3034424437 |
| Practice Fax Number | 3034424921 |
| Mailing Telephone | 3034424437 |
| Mailing Fax Number | 3034424921 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 202990 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912208 | Jonathan Smith | Counselor | 4711 Hickory Bend Dr Nw, Acworth, GA 30102-6340 | 2020-04-27 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| 1215401112 | Jonathan Lang Smith | Nutritionist | 4112 Shirley Dr, Memphis, TN 38109-4600 | 2019-01-15 |
| 1043795453 | Jonathan Lamont Smith | Student in an Organized Health Care Education/Training Program | 591 N. Shaw Ln., East Shaw Hall E155, East Lansing, MI 48825 | 2018-10-02 |
| 1811402951 | Jonathan Rowland Smith | Physician Assistant | 322 Mulberry St Sw Ste C, Lenoir, NC 28645-5703 | 2017-12-12 |
| 1679005698 | Jonathan Smith | Counselor | 360 Grant Ave, Columbus, OH 43209 | 2017-03-29 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1942600861 | Jonathan Craig Smith | Specialist/Technologist | 1435 Village Dr Dept 2801, Ogden, UT 84408-2801 | 2014-08-27 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1730322611 | Jonathan Eric Smith | Counselor | 1664 Chestwood Dr, Virginia Beach, VA 23453-7064 | 2009-04-08 |
| Street Address |
3093 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568573095 | Thomas M Simpson | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2006-08-31 |
| 1588109862 | Boulder Canyon Dental Pllc | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2016-12-22 |
| 1710370176 | Mike Carpenter, Dds | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2015-03-10 |
| 1194984971 | Thomas M Simpson Dds PC | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2008-06-05 |
| 1235283748 | Frederick A. Donaghy | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2007-01-22 |
| 1851467815 | William Michael Carpenter | Dentist | 3093 Broadway St, Boulder, CO 80304-3151 | 2006-11-28 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709494 | Mercy Blalock | Dentist | 1840 Folsom St Ste 201, Boulder, CO 80302-5712 | 2018-08-08 |
| 1194242206 | Sage Dentisty IIi Pllc | Dentist | 4150 Darley Ave Ste 7, Boulder, CO 80305-6537 | 2017-08-29 |
| 1568817898 | Carmen Alicia Burke | Dentist | 877 E Moorhead Cir, C, Boulder, CO 80305-6119 | 2016-04-23 |
| 1114309135 | Alleman Family Dental PC | Dentist | 2551 31st St, Boulder, CO 80301-6119 | 2015-06-25 |
| 1568854271 | Jana A. Ikeda, Dds, PC | Dentist | 805 S Broadway St Ste 210, Boulder, CO 80305-5972 | 2015-03-04 |
| 1396150710 | Whitney Kitchell Smith | Dentist | 2700 Canyon Blvd, Ste 210, Boulder, CO 80302 | 2014-06-24 |
| 1144501453 | Thomas S Wolff | Dentist | 3056 Edison Ct, Boulder, CO 80301 | 2011-08-31 |
| 1972831709 | Peter Neilson Jeppsen | Dentist | 2500 30th St Ste 204, Boulder, CO 80301-1258 | 2009-12-07 |
| 1437484623 | Paul D'amore | Dentist | 7020 Baseline Rd, Boulder, CO 80303-3141 | 2009-10-06 |
| 1235362864 | Darren Rennaker | Dentist | 4300 Arapahoe Ave, Boulder, CO 80303 | 2009-08-31 |
| 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.