Organization Active NPI

Vero Beach Surgical Arts P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Vero Beach, FL
National Provider Identifier
1487889572
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
VERO BEACH SURGICAL ARTS P.A.
Practice address
1000 37TH PL Ste 103
Vero Beach, FL 32960-6579
Phone
(772) 770-9191
Fax
(772) 770-4161
NPI assigned
May 19, 2009
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. John Andrew Colgan, DDSNPI 1841357662
Title
Owner
Phone
(772) 770-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

1000 37TH PL Ste 103
Vero Beach, FL 32960-6579

Mailing address

P.O. Box 162906
Miami, FL 33116-2906
Phone (772) 770-9191

National Provider Directory

National Provider Directory

Locations

1000 37th Pl
Ste 103
Vero Beach, FL 32960
Phone (772) 770-9191

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1487889572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 162906",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331162906",
            "telephone_number": "772-770-9191",
            "fax_number": "772-770-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 37TH PL STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606579",
            "telephone_number": "772-770-9191",
            "fax_number": "772-770-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO BEACH SURGICAL ARTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "COLGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-770-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.