MARY DAN EADES MD
NPI 1164790994
General Practice in Boulder, CO

Q: What is Mary Dan Eades's NPI number?

The NPI number for Mary Dan Eades is 1164790994. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Q: What is Mary Dan Eades's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Dan Eades was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since December 07, 2011

6525 GUNPARK DR # 150-504, BOULDER, CO 80301(720) 340-6306(805) 565-3142 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Dan Eades Md NPPES

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

MARY DAN EADES MD (NPI 1164790994) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (36065) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1164790994

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMARY DAN EADESCredential: MD

Location Address6525 GUNPARK DR # 150-504Boulder, CO 80301-3346

Mailing Address6525 Gunpark Dr # 150-504Boulder, CO 80301-3346 · (720) 340-6306 · Fax (805) 565-3142

Phone(720) 340-6306

Fax(805) 565-3142

Sole ProprietorNo

Enumeration DateDecember 7, 2011

✔ NPI 1164790994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CO · 36065

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6525 GUNPARK DR # 150-504, Boulder, CO 80301

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Other Providers at the Same Location NPPES

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

MICHAEL ROBERT EADES M.D.

General Practice

6525 GUNPARK DR # 150-504
BOULDER, CO 80301

Boulder County (720) 340-6306

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 Mary Dan Eades's NPI number?

The NPI number for Mary Dan Eades is 1164790994. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Where is Mary Dan Eades located?

Mary Dan Eades practices at 6525 Gunpark Dr # 150-504, Boulder, CO 80301. The listed phone number is (720) 340-6306.

What is Mary Dan Eades's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mary Dan Eades was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.