Jonathan Charles Kolb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19462 Issued in TX

Practice address

1210 Gregory St Ste 3
Taft, TX 78390-3045

Phone

(361) 528-3262

Fax

(361) 528-2016

NPI assigned

Jan 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charles D Kolb DDS Inc

  • General Practice Dentistry
  • Taft, TX
  • NPI 1700044195
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053462226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "address_2": "1210 GREGORY ST. STE. #3",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783900212",
            "telephone_number": "361-528-3262",
            "fax_number": "361-528-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GREGORY ST STE 3",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903045",
            "telephone_number": "361-528-3262",
            "fax_number": "361-528-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "976607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Coastal Surgical Assist
• Veronica Gonzalez, CPM LM
• Caitlyn Martha Grace Hornsby
• Jose Benamu M.D. P.a.
• Charles Douglas Kolb, D.D.S.
• Rachael Marie Loudon-Castillo, FNP-C
• Kim A. Polasek, P.T.
• Rural Health Solutions PA (Taft Family Health Clinic)
• Shoreline, Inc.
• Smith Physical Therapy & Wellness, P.C.

• General Practice Dentistry in Taft, TX
• Providers in Taft, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.