Marco Vincent Colella

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029436 Issued in IL

Practice address

420 S Batavia Ave
Batavia, IL 60510-2537

Phone

(630) 406-9441

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Marco V. Colella DMD PLLC

  • Dental Clinic/Center
  • Batavia, IL
  • NPI 1922725258
  NPD Authorized official
• Dickens, Mason & Kissell DDS LTD

  • General Practice Dentistry
  • St Charles, IL
  • NPI 1134130008
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1326480419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102537",
            "telephone_number": "630-406-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102537",
            "telephone_number": "630-406-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLELLA",
        "first_name": "MARCO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana J Christiano
• Christina Matthews LPC LLC
• Phyllis E Cirella
• Brooke Julia Cirenza, M.S., CF-SLP
• Colleen Clesen, NDTR
• Lori Collalti, OTR/L
• Compass ABA LLC
• Concierge Medical Spa Incorporated
• Lily Conley
• Connect Hearing, Inc.

• General Practice Dentistry in Batavia, IL
• Providers in Batavia, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.