NPIMap

Organization Active NPI

Colin S. Ilas D.D.S.

Doing business as Ilas Dental Care

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1427698877
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLIN S. ILAS D.D.S.
Doing business as
Ilas Dental Care
Practice address
2030 Diamond Blvd Ste 25
Concord, CA 94520-5753
Phone
(925) 687-8000
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COLIN S. ILAS D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Genevieve Ong
Title
Office Manager
Phone
(925) 687-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2030 Diamond Blvd Ste 25
Concord, CA 94520-5753

Mailing address

2030 Diamond Blvd Ste 25
Concord, CA 94520-5753
Phone (925) 687-8000

Other names 1

  • Ilas Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colin S Ilas DDS2 organizations share this tax ID, including this one
Part of
Colin S Ilas DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2030 Diamond Blvd
Ste 25
Concord, CA 94520
Phone (925) 687-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1427698877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 DIAMOND BLVD STE 25",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205753",
            "telephone_number": "925-687-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 DIAMOND BLVD STE 25",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205753",
            "telephone_number": "925-687-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN S. ILAS D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLIN S. ILAS D.D.S.",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-687-8000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilas Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.