Dan Cristian Colosi, DDS, PHD

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

000003 Issued in NY

Practice address

Stony Brook University School of
Sullivan Hall-Dental Care Center
Stony Brook, NY 11794-8700

Phone

(631) 632-8974

NPI assigned

Aug 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1114158136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY SCHOOL OF",
            "address_2": "124 WESTCHESTER HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948700",
            "telephone_number": "631-632-8925",
            "fax_number": "631-632-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY SCHOOL OF",
            "address_2": "SULLIVAN HALL-DENTAL CARE CENTER",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948700",
            "telephone_number": "631-632-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSI",
        "first_name": "DAN",
        "middle_name": "CRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "000003",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NY",
            "license": "000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Katherine Colbert, DO
• Daniel Coldren, M.D.
• Gia Coleman, M.D.
• Tracy Coleman
• Cynthia Maria-Francesca Collazo, PHYSICIAN ASSISTANT
• Pamela Jane Combs, D.D.S.
• Matthew Comito, M.D.
• Carole Commodore, DPM
• Comprehensive Neurology of Long Island PC
• Sydney Lynn Conners, MSW

• Dentist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.