Juan Collado, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045828-1 Issued in NY

Legal business name

JUAN COLLADO, DDS PC

Practice address

520 W 190TH St
Suite a
New York, NY 10040-3407

Phone

(212) 568-3231

Fax

(212) 568-7727

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan Pablo Collado, D.D.S.NPI 1952390015

Title

President

Phone

(212) 568-3231

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Juan Pablo Collado, D.D.S.

  • Dentist
  • New York, NY
  • NPI 1952390015
  Authorized official Same address or phone

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518172113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 ROCKLEDGE PL",
            "address_2": "PRIVATE HOUSE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664014",
            "telephone_number": "212-568-3231",
            "fax_number": "212-568-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 190TH ST",
            "address_2": "SUITE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403407",
            "telephone_number": "212-568-3231",
            "fax_number": "212-568-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN COLLADO, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-568-3231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045828-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02752707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Ju, DO, MS
• Sara Ju, DDS
• Juan a. Alba, MDPC
• Juan C Jaramillo DDS PC (Columbia circle dental)
• Juan C. Jaramillo D.D.S. P.C. (Columbus Circle Dental)
• Juan Yamin MD PC
• Ma.Victoria Castaneda Juanito, RN
• Elsie Juarez, MA, CCC-SLP
• Jessica Juarez, MD
• Jose Miguel Juarez, MD, MS

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• 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.