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PEAKVIEW DENTISTRY PLLC
NPI 1164036166
Dentist - General Practice in Boulder, CO

Active since September 07, 2020
1200 28TH ST STE 300, BOULDER, CO 80303(303) 417-1644(303) 417-1790 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Sep 16, 2020, Sep 7, 2020 (3 updates tracked since 2020).

About Peakview Dentistry Pllc NPPES

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

PEAKVIEW DENTISTRY PLLC (NPI 1164036166), doing business as Peakview Cosmetic & Implant Dentistry, is a healthcare organization registered as a general practice in Boulder, Colorado and active in the NPI registry since September 2020. The organization lists Adam Kwiatkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1164036166
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEAKVIEW DENTISTRY PLLC
Location Address1200 28TH ST STE 300Boulder, CO 80303-1756
Mailing Address1200 28th St Ste 300Boulder, CO 80303-1756 · (303) 417-1644 · Fax (303) 417-1790
Phone(303) 417-1644
Fax(303) 417-1790
Organization SubpartNo
Authorized OfficialAdam KwiatkowskiOwner · (773) 744-2308
Enumeration DateSeptember 7, 2020
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1164036166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
1200 28TH ST STE 300, Boulder, CO 80303
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Other Names 1

Doing Business AsPeakview Cosmetic & Implant Dentistry

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peakview Dentistry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peakview Dentistry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Adam Kwiatkowski, DMD
Oral Surgery
NPI 1568073575
1200 28TH ST STE 300
Boulder, CO 80303
(303) 417-1644
✔ PECOS✔ Accepts MedicareSame address
Benjamin Stephens, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427616184
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peakview Dentistry PLLC's NPI number?

The NPI number for Peakview Dentistry PLLC is 1164036166. It was assigned to this organization in the NPPES registry on September 7, 2020. The provider is doing business as Peakview Cosmetic & Implant Dentistry.

Where is Peakview Dentistry PLLC located?

Peakview Dentistry PLLC is located at 1200 28th St Ste 300, Boulder, CO 80303. The listed phone number is (303) 417-1644.

What is Peakview Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peakview Dentistry PLLC enrolled in Medicare?

Yes. Peakview Dentistry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peakview Dentistry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Peakview Dentistry PLLC, in Certified Registered Nurse Anesthetist (CRNA) and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peakview Dentistry PLLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.