Active NPI
Candace R Colella DMD PA
- General Practice Dentistry
- Coconut Creek, FL
National Provider Identifier
1174742647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0014724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace R Colella, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Coral Springs, FL
- NPI 1841664265
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.