Organization Active NPI

Candace R Colella DMD PA

  • General Practice Dentistry
  • Coconut Creek, FL
National Provider Identifier
1174742647
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014724 Issued in FL
Legal business name
CANDACE R COLELLA DMD PA
Practice address
4690 N State Rd. 7
Suite 201
Coconut Creek, FL 33073-3904
Phone
(954) 428-6923
Fax
(954) 531-1634
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Candace R Colella, DMDNPI 1841664265
Title
Dentist Owner
Phone
(954) 428-6923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0014724 FL Primary

Addresses

Primary practice location

4690 N State Rd. 7
Suite 201
Coconut Creek, FL 33073-3904

Mailing address

4690 N State Road 7 Ste 201
Coral Springs, FL 33073-3904
Phone (954) 428-6923

National Provider Directory

National Provider Directory

Locations

4690 N State Road 7
Ste 201
Coconut Creek, FL 33073
Phone (954) 428-6923

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1174742647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 N STATE ROAD 7 STE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330733904",
            "telephone_number": "954-428-6923",
            "fax_number": "954-531-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 N STATE RD. 7",
            "address_2": "SUITE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733904",
            "telephone_number": "954-428-6923",
            "fax_number": "954-531-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE R COLELLA DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "COLELLA",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "954-428-6923",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.