Colleen Claire Orellana, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30024223 Issued in OH

Practice address

45 Clairedan Dr.
Powell, OH 43065-2654

Phone

(614) 433-7474

Fax

(614) 433-9090

NPI assigned

Mar 24, 2014

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Colleen Claire Heffernan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olentangy Pediatric Dentistry

  • Pediatric Dentistry
  • Powell, OH
  • NPI 1952407686
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1275950750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CLAIREDAN DR",
            "address_2": "OLENTANGY PEDIATRIC DENTISTRY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658064",
            "telephone_number": "614-433-7474",
            "fax_number": "614-722-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CLAIREDAN DR.",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430652654",
            "telephone_number": "614-433-7474",
            "fax_number": "614-433-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "COLLEEN",
        "middle_name": "CLAIRE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30024223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HEFFERNAN",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacie Anne Okojie, LPC
• Melissa Oldaker
• Olentangy Pediatric Dentistry
• Adebomi Adeola Omikunle, MD
• Optometric Management Group LLC (Eye Care Professionals of Powell)
• Orleans Psychological Services
• Orthopedic One, Inc.
• Orthopedic One, Inc.
• Laura E Osthaus, MD
• Rachel A Ostrowski, LMT

• Pediatric Dentistry in Powell, OH
• Providers in Powell, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.