Colleen A. Pool, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010842 Issued in IN

Practice address

5774 W US 52
New Palestine, IN 46163-9737

Phone

(317) 861-4484

NPI assigned

Oct 4, 2006

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

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 and National Provider Directory roles.

• Colleen Pool Dentistry LLC

  • Dentist
  • New Palestine, IN
  • NPI 1386023992
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1073609608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461630565",
            "telephone_number": "317-441-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 W US 52",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461639737",
            "telephone_number": "317-861-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "COLLEEN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Padgett, LCSW
• Sharon Paluga-Staggs, D.D.S.
• Frank Henry Perkins III, PHARMD
• Isabelle Terese Peterson, REGISTERED BEHAVIOR
• Thao T Pham, PHARMD
• Peter B Qualy, MS, LCSW, LCAC, LMFT
• Allison Raquet
• Jacksyn Recometa
• Sadiksha Regmi, NP
• Rachel Michelle Rigsbee, BCBA

• All providers in New Palestine, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.