OrganizationActive
Boulder Plastic Surgery Prof LLC
NPI 1770179335 · Specialist · Boulder, CO
Boulder Plastic Surgery Prof LLC is a Specialist organization in Boulder, CO (NPI 1770179335).
Provider details
- NPI number
- 1770179335
- 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
2525 4th St
Boulder, CO 80304-3966
Phone: (303) 443-3672
Street-level locationGet directions
Mailing address
Po Box 7643
Loveland, CO 80537-0643
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-15
Frequently asked questions
- What is Boulder Plastic Surgery Prof LLC's NPI number?
- Boulder Plastic Surgery Prof LLC's National Provider Identifier (NPI) is 1770179335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulder Plastic Surgery Prof LLC?
- Boulder Plastic Surgery Prof LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Boulder Plastic Surgery Prof LLC located?
- Boulder Plastic Surgery Prof LLC's practice location on file with NPPES is 2525 4th St, Boulder, CO 80304-3966.
- What is Boulder Plastic Surgery Prof LLC's phone number?
- The practice phone number listed in the NPPES registry for Boulder Plastic Surgery Prof LLC is (303) 443-3672.
- Who is the authorized official for Boulder Plastic Surgery Prof LLC?
- The authorized official listed on Boulder Plastic Surgery Prof LLC's NPPES record is Pam Garcia, Office Contact. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulder Plastic Surgery Prof LLC's NPI active?
- Yes — Boulder Plastic Surgery Prof LLC's NPI (1770179335) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.