Active NPI
Noel Colon, D.M.D.
- General Practice Dentistry
- Morovis, PR
National Provider Identifier
1407993058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2357
- Practice address
- 2 Calle Patron
Morovis, PR 00687-3021 - Phone
- (787) 862-3667
- NPI assigned
- Jan 31, 2007
- Last updated
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 2357 | PR | Primary |
Addresses
Primary practice location
2 Calle Patron
Morovis, PR 00687-3021
Mailing address
PO Box 2128
Morovis, PR 00687-4128
Phone (787) 862-3667
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 583236181 | Other | PR | DELTA DENTAL PLAN |
| 041900 | Other | PR | CRUZ AZUL DE PUERTO RICO |
| 9180267 | Other | PR | HUMANA HEALTH CARE |
| 42297 | Other | PR | SSS |
| 7460 | Other | PR | FIRST MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506001235 | PR | Order and Referring Only - Oral Surgery | 8325347727 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2357 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1407993058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2128",
"city": "MOROVIS",
"state": "PR",
"postal_code": "006874128",
"telephone_number": "787-862-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE PATRON",
"city": "MOROVIS",
"state": "PR",
"postal_code": "006873021",
"telephone_number": "787-862-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "NOEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL PLAN",
"identifier": "583236181",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PUERTO RICO",
"identifier": "041900",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH CARE",
"identifier": "9180267",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "42297",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "7460",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.