Active NPI
Charles Henry Colby, DDS
- General Practice Dentistry
- Minneapolis, MN
National Provider Identifier
1386854172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7294
- Practice address
- 150 S 5TH St #1475
Minneapolis, MN 55402 - Phone
- (612) 339-7400
- Fax
- (612) 338-3721
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7294 | MN | Primary |
Addresses
Primary practice location
150 S 5TH St #1475
Minneapolis, MN 55402
Mailing address
7766 Lochmere Terrace
Edina, MN 55439
Phone (952) 935-9673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7294 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386854172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7766 LOCHMERE TERRACE",
"city": "EDINA",
"state": "MN",
"postal_code": "55439",
"telephone_number": "952-935-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S 5TH ST #1475",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55402",
"telephone_number": "612-339-7400",
"fax_number": "612-338-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBY",
"first_name": "CHARLES",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "7294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.