BROCK BOOTON (NPI# 1699194316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699194316 |
| Entity Type | Individual |
| Full Name | BROCK BOOTON |
| Credential | DDS |
| Practice Address |
302 3rd St Se Suite 150 Loveland CO 80537-6419 |
| Mailing Address |
2930 11th Ave Evans CO 80620-1011 |
| Practice Telephone | 9704618942 |
| Practice Fax Number | 9702921592 |
| Mailing Telephone | 9703504606 |
| Mailing Fax Number | 9703504645 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 202451 | CO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
84-1343242 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 41031814 | 05 |
| Street Address |
302 3RD ST SE SUITE 150 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80537-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864299 | Wayne Williamson | Physician Assistant | 302 3rd St Se, Suite 150, Loveland, CO 80537-6419 | 2005-07-07 |
| 1548881717 | Summitstone Health Partners | Clinic/Center | 302 3rd St Se, Loveland, CO 80537-6419 | 2020-04-29 |
| 1902374937 | Kori Danielle Turner | Counselor | 302 3rd St Se, Loveland, CO 80537-6419 | 2018-11-07 |
| 1306321088 | Connie Irish | Pharmacist | 302 3rd St Se, Loveland, CO 80537-6419 | 2018-09-28 |
| 1699255158 | Jamie Dawn Powell | Counselor | 302 3rd St Se, Loveland, CO 80537-6419 | 2018-08-15 |
| 1093209876 | Erin Renae Randa | Pharmacist | 302 3rd St Se, Loveland, CO 80537-6419 | 2018-06-15 |
| 1013467240 | Jennifer Smith | Physician Assistant | 302 3rd St Se, Suite 150, Loveland, CO 80537-6419 | 2016-10-12 |
| 1790133395 | Mckee Medical Center | Clinic/Center | 302 3rd St Se, Loveland, CO 80537-6419 | 2016-05-25 |
| 1821463811 | Jenny Boyd | Case Manager/Care Coordinator | 302 3rd St Se, Loveland, CO 80537-6419 | 2015-12-02 |
| 1376914655 | Maribeth Taylor | Nurse Practitioner | 302 3rd St Se, Suite 150, Loveland, CO 80537-6419 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
| 1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
| 1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
| 1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
| 1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
| 1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
| 1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
| 1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
| Find all providers in zip 80537 | ||||
| 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 |
|---|---|---|---|---|
| 1962816785 | Linda Yang | Dentist | 1569 Fall River Dr, Ste 193, Loveland, CO 80538-9059 | 2014-06-19 |
| 1205155686 | Mary M Edwards | Dentist | 1242 N Cleveland Ave, Loveland, CO 80537-4725 | 2010-05-24 |
| 1215166137 | Yvette Elizabeth Mcmullen | Dentist | 1685 Rocky Mountain Ave, Suite 400, Loveland, CO 80538-8705 | 2009-07-13 |
| 1881849693 | Joanne Bancroft | Dentist | 1440 W 29th St, Suite 400, Loveland, CO 80538-2459 | 2008-11-20 |
| 1790970275 | Abram Howard Tanner | Dentist | 274 W 64th St, Loveland, CO 80538-1196 | 2007-09-07 |
| 1992900930 | Dennis Lee Andersen | Dentist | 1907 N Boise Ave, Suite 4, Loveland, CO 80538 | 2007-06-19 |
| 1285799205 | Daniel J Vogt | Dentist | 681 Loveland Madeira Road, Loveland, OH 45140-2715 | 2006-12-27 |
| 1083705123 | John Michael Dildine | Dentist | 2664 Abarr Dr, Loveland, CO 80538-3156 | 2006-09-27 |
| 1861504599 | Dho-ronald Stanich Dds Inc | Dentist | 123 S. Second Street, Loveland, OH 45140-0097 | 2006-08-31 |
| 1548278807 | Aaron H. Tuchklaper | Dentist | 255 W 64th St, Loveland, CO 80538-1197 | 2006-08-03 |
| Find all providers in LOVELAND | ||||
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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.