NPIMap

Organization Active NPI

John M. Colbert, DMD, LLC

  • Dentist
  • Springfield, IL
National Provider Identifier
1235353335
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOHN M. COLBERT, DMD, LLC
Practice address
997 Clock Tower Dr
Springfield, IL 62704-1301
Phone
(217) 787-2547
Fax
(217) 787-1757
NPI assigned
Apr 12, 2007
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. John Michael Colbert, DMD
Title
Owner
Phone
(217) 787-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

997 Clock Tower Dr
Springfield, IL 62704-1301

Mailing address

997 Clock Tower Dr
Springfield, IL 62704-1301
Phone (217) 787-2547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235353335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-787-2547",
            "fax_number": "217-787-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-787-2547",
            "fax_number": "217-787-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. COLBERT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-787-2547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

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.