BOULDER VALLEY ORTHODONTICS, PLLC (NPI# 1952812836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952812836 |
Entity Type | Organization |
Organization Name | BOULDER VALLEY ORTHODONTICS, PLLC |
Other Organization Name | WALKER & LEYPOLDT ORTHODONTICS |
Practice Address |
350 Broadway St Ste 120 Boulder CO 80305-3300 |
Practice Telephone | 3034943535 |
Practice Fax Number | 3034945095 |
Mailing Telephone | 3034943535 |
Mailing Fax Number | 3034945095 |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |
Authorized Official Name | CHRISTY GALITZ (OFFICE MANAGER) |
Authorized Official Telephone | 3034943535 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Other Name | Type Code |
---|---|
Walker & Leypoldt Orthodontics | Doing Business As Name - Organization |
Street Address |
350 BROADWAY ST STE 120 |
City | BOULDER |
State | CO |
Zip Code | 80305-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871915496 | John S Walkerdmd Prof LLC | Dentist | 350 Broadway St Ste 120, Boulder, CO 80305-3300 | 2014-01-16 |
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 | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871915496 | John S Walkerdmd Prof LLC | Dentist | 350 Broadway St Ste 120, Boulder, CO 80305-3300 | 2014-01-16 |
1225303381 | Jan Yamashiro | Dentist | 1717 Folsom St, Boulder, CO 80302-6718 | 2012-03-21 |
1902972383 | Gregory A Norris | Dentist | 2669 Spruce St, Boulder, CO 80302 | 2006-11-28 |
1295760502 | John S Walker | Dentist | 350 Broadway, Suite 120, Boulder, CO 80305-3300 | 2006-07-12 |
1356349203 | Brent R. Lang | Dentist | 1900 Folsom St, Boulder, CO 80302-5713 | 2005-07-13 |
1457971442 | Bahar Esmaili Dds Pllc | Dentist | 1200 28th St Ste 300, Boulder, CO 80303-1756 | 2020-04-20 |
1972963833 | Robert Stephen Judd | Dentist | 4155 Darley Ave, Boulder, CO 80305-6536 | 2016-03-04 |
1154713402 | Boulder Orthodontics | Dentist | 1900 Folsom St, 211, Boulder, CO 80302-5713 | 2015-02-24 |
1992071898 | Jan Yamashiro D.d.s., M.s.d., Professional LLC | Dentist | 1717 Folsom St, Boulder, CO 80302-6718 | 2012-03-26 |
1447424528 | Richard Stanley Fronczak | Dentist | 2300 Canyon Blvd, Boulder, CO 80302-5619 | 2008-04-18 |
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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.