Mark A Collons, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19856 Issued in CA

Practice address

1033 Gayley Ave
#106
Los Angeles, CA 90024-3417

Phone

(310) 208-6333

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548365513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 GAYLEY AVE",
            "address_2": "#106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243417",
            "telephone_number": "310-208-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 GAYLEY AVE",
            "address_2": "#106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243417",
            "telephone_number": "310-208-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLONS",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "19856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Collison
• Elizabeth Collison, PH.D.
• Emily Mary Hunt Collisson, PNP-AC/PC
• Kelly Marie Collon, MD
• Kevin William Collon, MD
• Shann Collotzi, LCSW
• Laura Collura, MFT
• Alice Colmenares
• Shannon Colmenares, CCC-SLP
• Elia Colmenero

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.