Organization Active NPI

Eugene J. Colao, DDS, PA

  • Dentist
  • Riverdale, MD
National Provider Identifier
1457497117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3887 Issued in MD
Legal business name
EUGENE J. COLAO, DDS, PA
Practice address
5711 Sarvis Ave
Suite 600
Riverdale, MD 20737-1394
Phone
(301) 864-7006
Fax
(301) 864-7210
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eugene J. Colao, DDS
Title
President
Phone
(301) 864-7006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3887 MD Primary

Addresses

Primary practice location

5711 Sarvis Ave
Suite 600
Riverdale, MD 20737-1394

Mailing address

5711 Sarvis Ave
Suite 600
Riverdale, MD 20737-1394
Phone (301) 864-7006

National Provider Directory

National Provider Directory

Locations

5711 Sarvis Ave
Ste 600
Riverdale, MD 20737
Phone (301) 864-7006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457497117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE",
            "address_2": "SUITE 600",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-864-7006",
            "fax_number": "301-864-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE",
            "address_2": "SUITE 600",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-864-7006",
            "fax_number": "301-864-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE J. COLAO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLAO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-864-7006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "3887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.