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DR. WILLIAM PATRICK MISISCHIA D.M.D.
NPI 1942588397
Dentist - Periodontics in Boulder, CO

Active since August 02, 2011PECOS Enrolled
350 BROADWAY ST STE 130, BOULDER, CO 80305(034) 490-4103(303) 449-0470 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Patrick Misischia D.m.d. NPPES

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

DR. WILLIAM PATRICK MISISCHIA D.M.D. (NPI 1942588397) is an individual periodontics provider in Boulder, Colorado, licensed in Colorado (9827) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942588397
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WILLIAM PATRICK MISISCHIACredential: D.M.D.
Location Address350 BROADWAY ST STE 130Boulder, CO 80305-3396
Mailing Address350 Broadway St Ste 130Boulder, CO 80305-3396 · (034) 490-4103 · Fax (303) 449-0470
Phone(034) 490-4103
Fax(303) 449-0470
Sole ProprietorYes
Enumeration DateAugust 2, 2011
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1942588397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CO · 9827
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
350 BROADWAY ST STE 130, Boulder, CO 80305
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Patrick Misischia D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80305 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 2

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

DR. ERIK CHRISTIAN ROSE DDS
Dentist (Periodontics)
350 BROADWAY ST STE 130
BOULDER, CO 80305
Boulder County (303) 449-0410
CORYDON SPERRY MD
Family Medicine
350 BROADWAY ST STE 130
BOULDER, CO 80305
Boulder County (720) 848-9200

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 William Misischia's NPI number?

The NPI number for William Misischia is 1942588397. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is William Misischia located?

William Misischia practices at 350 Broadway St Ste 130, Boulder, CO 80305. The listed phone number is (034) 490-4103.

What is William Misischia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is William Misischia enrolled in Medicare?

Yes. William Misischia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Misischia was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.