Active NPI
Salvatore M Colombo, DMD
- Dentist
- Moore Haven, FL
National Provider Identifier
1265747125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19136
- Practice address
- 1021 Health Park Cir
Box 1120
Moore Haven, FL 33471-6206 - Phone
- (863) 946-0091
- Fax
- (863) 946-0145
- NPI assigned
- Aug 16, 2010
- Last updated
- Aug 10, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN19136 | FL | Primary |
Addresses
Primary practice location
1021 Health Park Cir
Box 1120
Moore Haven, FL 33471-6206
Mailing address
4450 S Tiffany Dr
West Palm Beach, FL 33407-3241
Phone (561) 844-9443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003344600 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19136 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1265747125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 S TIFFANY DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073241",
"telephone_number": "561-844-9443",
"fax_number": "561-844-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 HEALTH PARK CIR",
"address_2": "BOX 1120",
"city": "MOORE HAVEN",
"state": "FL",
"postal_code": "334716206",
"telephone_number": "863-946-0091",
"fax_number": "863-946-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMBO",
"first_name": "SALVATORE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-16",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003344600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moore Haven, FL
- Arnold Pro Services, LLC
- Tiffany E Arnold, MSW
- Dorothy A Baker, PA
- Alberto Sylvester Blackwood, DDS
- Edward Clewell
- Kathryn R. Cornette, M.D.
- County of Glades Office of Clerk Board County Commissioners (Glades County EMS)
- Etc Counseling LLC
- Florida Community Health Centers Inc
- Florida Community Health Services (Florida Medical & Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.