Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427316215 Individual Practitioner Male Practitioner

Dr. Anil P Nutakki , DDS

Dentist - General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Anil Nutakki, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boulder, CO. Practice services are available at 1840 FOLSOM ST STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1840 Folsom St Ste 301

Boulder, CO 803025712

Telephone 3034431146
Associated Practice Facility / Clinic
🏢 Adh Boulder Pllc Facility NPI 1871440222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 202087

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. William Brachvogel , DDS

Dentist - General Practice

NPI 1063487965

Doctor of Dental Surgery

Mathias Mcafee

Dentist - General Practice

NPI 1780372292

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2016

Registered at 1840 FOLSOM ST STE 301, BOULDER, CO 803025712 (Tel: 3034431146)

📍
Updated Business Mailing Address August 01, 2016

Registered at 1840 FOLSOM ST STE 301, BOULDER, CO 803025712 (Tel: 3034431146)

👤
Provider Name / Credentials Updated August 01, 2016

Recorded as ANIL NUTAKKI, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Dentist (License #202087 in CO)

🟢
Initial NPI Registration & Enumeration April 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427316215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2012
Last Update: August 01, 2016
Sole Proprietor: No

Mailing Address

1840 Folsom St Ste 301

Boulder, CO 803025712

Phone: 3034431146

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.