Individual provider Active NPI

Enid C. Colon, D.D.S

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1487884383
Registry record updated Jul 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007009 Issued in VA
Practice address
1635 N George Mason Dr Ste 470
Arlington, VA 22205-3677
Phone
(703) 522-9292
Fax
(703) 522-9096
NPI assigned
Jul 26, 2009
Last updated
Jul 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2009

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 0401007009 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr Ste 470
Arlington, VA 22205-3677

Mailing address

1635 N George Mason Dr Ste 470
Arlington, VA 22205-3677
Phone (703) 522-9292

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

LicenseStateTypeSpecialty
0401007009VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo Mendez MD PC PastSince Jan 4, 2011 Accepting new patients

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": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1487884383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 470",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053677",
            "telephone_number": "703-522-9292",
            "fax_number": "703-522-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 470",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053677",
            "telephone_number": "703-522-9292",
            "fax_number": "703-522-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ENID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; 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.