Kadambari Colaco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857199 Issued in MA

Practice address

22 Alpine LN
Chelmsford, MA 01824-2703

Phone

(978) 256-1769

NPI assigned

Jun 6, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Smilecare Dental of Fitchburg PC

  • General Practice Dentistry
  • Fitchburg, MA
  • NPI 1770185324
  NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295184869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DEWEY RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ALPINE LN",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242703",
            "telephone_number": "978-256-1769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Sack Blvd",
            "address_2": "Unit 5",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014533325",
            "country_code": "US",
            "telephone_number": "716-541-4566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Sack Blvd",
            "address_2": "Unit 5",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014533325",
            "country_code": "US",
            "telephone_number": "716-541-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLACO",
        "first_name": "KADAMBARI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clover Behavioral Health LLC
• Matthew A Cohen, MD
• Stephen P Cohen, MA
• Nancy Krevlin Cohn, PSYD
• Joanne Coiro, PT
• Donna Jean Coleman, OTR/L
• Kassandra Coleman, BCBA
• Claudia Collins, AGNP
• Carlos Colon, LCSW
• Kyle Richard Colon

• Dentist in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.