Organization Active NPI

Shandon M. Colter, D.D.S., PA

Doing business as Glaser, Jones and Colter, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1225048424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHANDON M. COLTER, D.D.S., PA
Doing business as
Glaser, Jones and Colter, D.D.S.
Practice address
5408 Alpha Rd
Dallas, TX 75240-4506
Phone
(972) 386-6200
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shandon M Colter, D.D.S.NPI 1497765127
Title
President
Phone
(972) 386-6200

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 Primary

Addresses

Primary practice location

5408 Alpha Rd
Dallas, TX 75240-4506

Mailing address

5408 Alpha Rd
Dallas, TX 75240-4506
Phone (972) 386-6200

Other names 1

  • Glaser, Jones and Colter, D.D.S. Doing business as

National Provider Directory

National Provider Directory

Locations

5408 Alpha Rd
Dallas, TX 75240
Phone (972) 386-6200

Practitioners & affiliated clinicians

Practitioners 4

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225048424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404506",
            "telephone_number": "972-386-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404506",
            "telephone_number": "972-386-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDON M. COLTER, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLTER",
        "authorized_official_first_name": "SHANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-386-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glaser, Jones and Colter, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.