Active NPI
Jill Christina Kollar, DMD
- Dentist
- Windsor, CO
National Provider Identifier
1093069973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00201892
- Practice address
- 1580 Main St Unit B
Windsor, CO 80550-7918 - Phone
- (970) 237-4313
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00201892 | CO | Primary |
Addresses
Primary practice location
1580 Main St Unit B
Windsor, CO 80550-7918
Mailing address
1580 Main St Unit B
Windsor, CO 80550-7918
Phone (970) 237-4313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026000834 | CO | Order and Referring Only - Dentist | 5496033482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00201892 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill Kollar DMD Professional LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1093069973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 MAIN ST UNIT B",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805507918",
"telephone_number": "970-237-4313",
"fax_number": "970-818-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 MAIN ST UNIT B",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805507918",
"telephone_number": "970-237-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLAR",
"first_name": "JILL",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00201892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.