Colorado Dhca, Boulder, Pllc

Colorado Dhca, Boulder, Pllc is a healthcare organization registered as General Practice Dentistry in Boulder, CO, holding Type 2 (organization) NPI 1013052653 since 2007. The authorized official on file is Ande Wittenberg, Manager.

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NPI	1013052653
Entity type	Organization (Type 2)
Legal business name	Colorado Dhca, Boulder, Pllc
Other name	<Unavail>
Practice address	2525 28TH ST UNIT 140, Boulder, CO, 80301
Phone	3034430070
Fax	3034430073
Enumeration date	2007-02-21
Last updated in NPPES	2008-07-09

Authorized official

Name	Ande Wittenberg
Title	Manager
Phone	3034430070

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	579	CO

Other identifiers

Identifier	Type	State	Issuer
841525799	Other	CO	SPECIALTY

Copy-ready billing details

Provider: Colorado Dhca, Boulder, Pllc
NPI: 1013052653
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 2525 28TH ST UNIT 140, Boulder, CO, 80301

Providers at this address

NPI	Name	Type	Specialty	Location
1821133893	Stephen Perry	Individual	General Practice Dentistry	Boulder, CO
1245454081	John Short	Individual	Dentist	Boulder, CO
1841600467	Jordan Gorm	Individual	Dental Hygienist	Boulder, CO

Verify this record

Cross-check NPI 1013052653 against the authoritative CMS record: view Colorado Dhca, Boulder, Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-09. Verify at npiregistry.cms.hhs.gov.

Where is Colorado Dhca, Boulder, Pllc located?

The practice location on file with NPPES is in Boulder, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-09.