Colleen Lam, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19427 Issued in FL

Practice address

5057 S Congress Ave Ste 401
Lake Worth, FL 33461-4723

Phone

(561) 965-6003

Fax

(561) 965-8447

NPI assigned

May 24, 2011

Last updated

Oct 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aesthetic Dental Designs, PA

  dba Dental Arts of Atlantis

  • General Practice Dentistry
  • Lake Worth, FL
  • NPI 1235501420
  NPD Authorized official
• Cotsonas & Luke DDS PA

  dba Dental Arts of Atlantis

  • General Practice Dentistry
  • Atlantis, FL
  • NPI 1922176262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1013200187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 S CONGRESS AVE STE 401",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614723",
            "telephone_number": "561-965-6003",
            "fax_number": "561-965-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 S CONGRESS AVE STE 401",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614723",
            "telephone_number": "561-965-6003",
            "fax_number": "561-965-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Worth Orthodontics
• Lake Worth Rehabilitation Center LLC (Lake Worth Rehabilitation Center)
• Lake Worth SNF LLC (Terraces of Lake Worth Rehabilitation and Health Center)
• Lake Worth SNF LLC
• Lake Worth Therapy Center
• Rolando Martin Lam
• Brian Bernard Lambert, PA C
• Daylin Lambertt, RBT
• Peter Lamelas, MD
• Cassandra L Lamorte

• Dentist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.