Allen D Colic, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10376 Issued in WA

Practice address

9714 3Rd Ave NE
#203
Seattle, WA 98115-2044

Phone

(206) 525-1515

Fax

(206) 524-1014

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Backman Colic & Patel PLLC

  dba Endodontics NW

  • Endodontics
  • Seattle, WA
  • NPI 1669724068
  NPD (past)
• Colic and Patel PLLC, Dba Endodontics NW

  • Endodontics
  • Seattle, WA
  • NPI 1861330615
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588709786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE",
            "address_2": "#203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152044",
            "telephone_number": "206-525-1515",
            "fax_number": "206-524-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE",
            "address_2": "#203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152044",
            "telephone_number": "206-525-1515",
            "fax_number": "206-524-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIC",
        "first_name": "ALLEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "10376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G. Colescott, PT
• Delia R Coley
• John Nicholas James Colgan, BMED, M.D.
• Jody Rullman Colglazier, R.N.
• Colic and Patel PLLC, Dba Endodontics NW
• Kaya Colin, MSW, LMHC
• Collaboratam Care LLC (Senior Helpers of North Seattle)
• Collaborative Care PLLC
• Jennifer Lynn Collado, M.S. BCBA
• Marcos Collazo

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.