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AMANDA K. POOLER DDS
NPI 1134536733
Dentist in Longmont, CO

Active since July 15, 2014Opted out of Medicare · through Apr 12, 2028
1325 DRY CREEK DR STE 304, LONGMONT, CO 80503(720) 763-8876 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Jan 15, 2020 (2 updates tracked since 2020).

About Amanda K. Pooler Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA K. POOLER DDS (NPI 1134536733) is an individual dentist in Longmont, Colorado, licensed in Colorado (00203810) and active in the NPI registry since July 2014. She has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134536733
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAMANDA K. POOLERCredential: DDS
Location Address1325 DRY CREEK DR STE 304Longmont, CO 80503-7751
Mailing Address1325 Dry Creek Dr Ste 304Longmont, CO 80503-7751 · (720) 763-8876
Phone(720) 763-8876
Sole ProprietorNo
Enumeration DateJuly 15, 2014
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1134536733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · 00203810
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30094 (TX)
1325 DRY CREEK DR STE 304, Longmont, CO 80503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda K. Pooler Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2016 through April 12, 2028.

Opt-Out Effective DateApril 12, 2016
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER GARY MERTZ DDS
Dentist
1325 DRY CREEK DR STE 304
LONGMONT, CO 80503
Boulder County (303) 678-1111
DR. MATTHEW D KOVACH DMD
Dentist (General Practice)
1325 DRY CREEK DR STE 304
LONGMONT, CO 80503
Boulder County (303) 678-1111
DR. CODY WAYNE SANFORD D.D.S.
Dentist
1325 DRY CREEK DR STE 304
LONGMONT, CO 80503
Boulder County (720) 964-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Pooler's NPI number?

The NPI number for Amanda Pooler is 1134536733. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Amanda Pooler located?

Amanda Pooler practices at 1325 Dry Creek Dr Ste 304, Longmont, CO 80503. The listed phone number is (720) 763-8876.

What is Amanda Pooler's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Amanda Pooler enrolled in Medicare?

No. Amanda Pooler has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Pooler was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.