Individual provider Active NPI

Patricia Ilas, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1437937034
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109447 Issued in CA
Practice address
1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Phone
(408) 928-1450
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109447 CA Primary

Addresses

Primary practice location

1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572

Mailing address

1349 Country Club Dr
Milpitas, CA 95035-3438
Phone (408) 571-9550

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colin S. Ilas D.D.S. General Practice CurrentSince Sep 17, 2023 Accepting new patients

Locations

1206 N Capitol Ave
Ste 101
San Jose, CA 95132
Phone (408) 928-1450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1437937034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 COUNTRY CLUB DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353438",
            "telephone_number": "408-571-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N CAPITOL AVE STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322572",
            "telephone_number": "408-928-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAS",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.