OrganizationActive
Boulder Plastic Surgery Prof LLC
NPI 1114513009 · Specialist · Longmont, CO
Provider details
- NPI number
- 1114513009
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Pam Garcia, Office Contact(303) 443-2277
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone: (720) 718-7000
Street-level locationGet directions
Mailing address
Po Box 7643
Loveland, CO 80537-0643
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.