Colleen Rafferty Concepcion, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019500 Issued in MI

Practice address

725 N Milford Rd
Madden, Andrews and Associates
Milford, MI 48381-1536

Phone

(248) 685-8748

Fax

(248) 685-0881

NPI assigned

Nov 28, 2006

Last updated

Apr 1, 2009By 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

Other names 1

• Dr. Colleen Gilliland Rafferty Former name

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Madden Mulder & Andrews DDS PC

  • General Practice Dentistry
  • Milford, MI
  • NPI 1851470009
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1376619452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 PRINCETON CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168877",
            "telephone_number": "810-360-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MILFORD RD",
            "address_2": "MADDEN, ANDREWS AND ASSOCIATES",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811536",
            "telephone_number": "248-685-8748",
            "fax_number": "248-685-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "COLLEEN",
        "middle_name": "RAFFERTY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7292",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "RAFFERTY",
            "middle_name": "GILLILAND",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garret Eugene Clark, MD
• Keisa Lavette Clark
• Sarah Dobrei Clark, PTA
• Thomas Whitfield Colt, PT, ATC
• Compassionate Home Health Care, Inc
• Connected Care Services LLC
• Cynthia Cooper
• Core Wellness Home Care LLC
• Lauren Couls, DPT
• Craig a. Fuelling, M.D., PLLC

• General Practice Dentistry in Milford, MI
• Providers in Milford, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.