Active NPI
Michael Colangelo, DDS
- Dentist
- Keller, TX
National Provider Identifier
1568656346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23341
- Practice address
- 1517 Willis LN
Keller, TX 76248-3012 - Phone
- (682) 667-7225
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23341 | TX | Primary |
Addresses
Primary practice location
1517 Willis LN
Keller, TX 76248-3012
Mailing address
1517 Willis LN
Keller, TX 76248-3012
Phone (682) 667-7225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23341 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Smile Keller Dentistry PLLC | Current | Accepting new patients | |
| Grapevine Dental Center PLLC | Dentist | Past | Accepting new patients |
| Colangelo Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Keller, TX
- NPI 1437087509
-
- General Practice Dentistry
- Grapevine, TX
- NPI 1679897490
-
- Dentist
- Grapevine, TX
- NPI 1881364586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1568656346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 WILLIS LN",
"city": "KELLER",
"state": "TX",
"postal_code": "762483012",
"telephone_number": "682-667-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 WILLIS LN",
"city": "KELLER",
"state": "TX",
"postal_code": "762483012",
"telephone_number": "682-667-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANGELO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.