NPIMap

Organization Active NPI

Dr. Colin a. Malaker, DDS, PC

  • Dental Clinic/Center
  • Columbia, MO
National Provider Identifier
1679748453
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2004007387 Issued in MO
Legal business name
DR. COLIN A. MALAKER, DDS, PC
Practice address
3408 Buttonwood Dr
Columbia, MO 65201-3718
Phone
(573) 256-7891
Fax
(573) 256-8002
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Colin Andrew Malaker, DDS, PCNPI 1245221944
Title
Dentist
Phone
(573) 256-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2004007387 MO Primary

Addresses

Primary practice location

3408 Buttonwood Dr
Columbia, MO 65201-3718

Mailing address

3408 Buttonwood Dr
Columbia, MO 65201-3718
Phone (573) 256-7891

National Provider Directory

National Provider Directory

Locations

3408 Buttonwood Dr
Columbia, MO 65201
Phone (573) 256-7891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1679748453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 BUTTONWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013718",
            "telephone_number": "573-256-7891",
            "fax_number": "573-256-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BUTTONWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013718",
            "telephone_number": "573-256-7891",
            "fax_number": "573-256-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. COLIN A. MALAKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MALAKER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "573-256-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2004007387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.