{"npi":"1306927231","type":"NPI-2","status":"active","name":{"display":"Boulder Valley Center For Dermatology LLC","other":[],"organization_name":"BOULDER VALLEY CENTER FOR DERMATOLOGY LLC","authorised_official":"Tabatha Hoeben"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1140 W SOUTH BOULDER RD","city":"LAFAYETTE","state":"CO","postal_code":"800262854","country_code":"US","street_2":"STE 202","phone":"3036041444","fax":"3036660911"},{"purpose":"MAILING","street_1":"1140 W SOUTH BOULDER RD","city":"LAFAYETTE","state":"CO","postal_code":"800262854","country_code":"US","street_2":"STE 202","phone":"3036041444","fax":"3036660911"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040304000928","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"9335037159"}]},"enumeration_date":"2006-10-18","last_updated":"2024-05-13","_meta":{"source":"NPPES","snapshot_date":"2024-05-13","doc_url":"https://findmynpi.com/api"}}