DR. JEREMY RICHARD ALTDORFER DDS
NPI 1780235713
Dentist - General Practice in Boulder, CO

Active since September 20, 2019
1933 28TH ST STE 204, BOULDER, CO 80301(720) 645-1226 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 7, 2021, Sep 20, 2019 (2 updates tracked since 2019).

About Dr. Jeremy Richard Altdorfer Dds NPPES

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

DR. JEREMY RICHARD ALTDORFER DDS (NPI 1780235713) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (DEN.00204109) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1780235713
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY RICHARD ALTDORFERCredential: DDS
Location Address1933 28TH ST STE 204Boulder, CO 80301-1100
Mailing Address1933 28th St Ste 204Boulder, CO 80301-1100 · (720) 645-1226
Sole ProprietorNo
Enumeration DateSeptember 20, 2019
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1780235713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00204109
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.
1933 28TH ST STE 204, Boulder, CO 80301

Accepted Insurance

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.

Clinic/Center (Dental)
1933 28TH ST STE 204
BOULDER, CO 80301
Dentist (General Practice)
1933 28TH ST STE 204
BOULDER, CO 80301
Durable Medical Equipment & Medical Supplies
1933 28TH ST STE 204
BOULDER, CO 80301

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 Jeremy Altdorfer's NPI number?

The NPI number for Jeremy Altdorfer is 1780235713. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Jeremy Altdorfer located?

Jeremy Altdorfer practices at 1933 28th St Ste 204, Boulder, CO 80301. The listed phone number is (720) 645-1226.

What is Jeremy Altdorfer's specialty?

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

What insurance does Jeremy Altdorfer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jeremy Altdorfer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Altdorfer was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.