Active NPI
Roland Franklin Colom, DDS
- Dentist
- Columbus, MS
National Provider Identifier
1396952057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1883 80
- Practice address
- 907 Military Rd
Columbus, MS 39701 - Phone
- (662) 328-1252
- Fax
- (662) 329-3165
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1883 80 | MS | Primary |
Addresses
Primary practice location
907 Military Rd
Columbus, MS 39701
Mailing address
907 Military Rd
Columbus, MS 39701
Phone (662) 328-1252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00064765 | Medicaid | MS |
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 |
|---|---|---|---|
| 1883 80 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396952057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 MILITARY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39701",
"telephone_number": "662-328-1252",
"fax_number": "662-329-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 MILITARY RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39701",
"telephone_number": "662-328-1252",
"fax_number": "662-329-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOM",
"first_name": "ROLAND",
"middle_name": "FRANKLIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "1883 80",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00064765",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
- Thomas O Coker, CRNA
- Col Management LLC (Imaging Center of Columbus LLC)
- Col Management, LLC (Tomography Center of Columbus, LLC)
- Daphne Nicole Coleman, OTR
- Christina D Collins, MD
- Columbus Brace and Limb, Inc
- Columbus Cardiovascular Care PLLC
- Columbus Childrens Clinic
- Columbus Emergency Services, LLC
- Columbus Endoscopy Center, LLC
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.