Colleen Ann Edgerley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8798 Issued in CO

Practice address

2295 S Chambers Rd Ste E
Aurora, CO 80014-4547

Phone

(303) 751-6511

Fax

(303) 283-5944

NPI assigned

May 16, 2007

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 Ann Carmody 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 and National Provider Directory roles.

• Smile Dental 4 Kids

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1750024485
  NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1376750844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 N MAGNOLIA WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306707",
            "telephone_number": "720-984-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD STE E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144547",
            "telephone_number": "303-751-6511",
            "fax_number": "303-283-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERLEY",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15658031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "CARMODY",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony C Edelblute, LPC, MT-BC
• Charles Edelstein, MD
• Eden Home Health Services
• Edenbrooke Health Care Inc
• Edenbrooke Health Care Inc
• Barish Halil Edil, M.D.
• Hana Edjigu
• David Anton Edlund, DMD
• Amanda Joan Edmiston, LSW
• Alexis Lei Edmonds

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.