Walter E. Colon II, D.M.D.,M.S.DIPLOMATE

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15124 Issued in FL

Practice address

1614 W Plaza Dr
Tallahassee, FL 32308-5324

Phone

(850) 562-6111

Fax

(850) 562-7263

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 28, 2020 through Oct 28, 2026

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr. Frank Dental Care, PLLC

  • Dental Clinic/Center
  • Tallahassee, FL
  • NPI 1255059713
  NPD Authorized official
• Periodontal Associates of North Florida, PLLC

  • Dental Clinic/Center
  • Tallahassee, FL
  • NPI 1295245181
  NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1023028941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-562-6111",
            "fax_number": "850-562-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-562-6111",
            "fax_number": "850-562-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "WALTER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.,M.S.DIPLOMATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Collins, COTA/L
• Shelby R Collins, OTA
• Sheree Michele Collins, PHD
• Melba Colon-Renta, M.D.
• Carmen Colon, ARNP-C
• Colorful Journey Telepsychiatry, L.L.C.
• Dwight Colson
• Katya Marie Colston, PT, DPT
• Rowena Barney Colston, RPH
• Columbia Crest Construction, LLC

• Periodontics in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.