Bernard Colonna

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028657 Issued in IL

Practice address

2 W Talcott Rd
Suite 17
Park Ridge, IL 60068-5556

Phone

(847) 696-2019

NPI assigned

Jun 21, 2011

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

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 and National Provider Directory roles.

• Amedeo and Colonna, LTD

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1053438572
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1609162312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 NASHVILLE AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591729",
            "telephone_number": "708-829-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "address_2": "SUITE 17",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685556",
            "telephone_number": "847-696-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Cohen
• Ursula Patricia Colareta Ugarte, M.D.
• Cole D Lundquist MD SC
• Jerome N Colletti
• James A Colombo, MD
• Kristy L Combs, BC-DMT, LCPC
• Aisling Conaty, MA, ALMFT, LPC
• Nico Antonio Confuorto, PHARMD
• Kristen Michele Conley, CNM
• Mark H Conley, D.O.

• General Practice Dentistry in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.