Active NPI
Jeffrey Wayne Colella, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1124171731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5171
- Practice address
- 5202 W Buffalo St
Chandler, AZ 85226-3665 - Phone
- (480) 940-5451
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5171 | AZ | Primary |
Addresses
Primary practice location
5202 W Buffalo St
Chandler, AZ 85226-3665
Mailing address
5202 W Buffalo St
Chandler, AZ 85226-3665
Phone (480) 940-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5171 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1124171731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 W BUFFALO ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263665",
"telephone_number": "480-940-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 W BUFFALO ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263665",
"telephone_number": "480-940-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.