Colburn DDS PC TT

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COLBURN DDS PC TT

Practice address

3535 Park St Ste 100
Norton Shores, MI 49444-3736

Phone

(231) 739-8047

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Colburn, DDSNPI 1538218334

Title

Owner /President

Phone

(231) 739-8047

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Keith Colburn, DDS

  • General Practice Dentistry
  • Muskegon, MI
  • NPI 1538218334
  NPD (past) Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1699247544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PARK ST STE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST STE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBURN DDS PC TT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "231-739-8047",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Daniel Clark, M.D.
• Liberty Anne Clouse, MSN, APRN, FNP
• Danni Marie Coburn
• Dana Jo Cochrane - Hoekstra, P.A.
• Cogic Community Center, Inc.
• Sheyenne Kay Cole, LMSW
• Community Home Health Care of West Michigan, Inc
• Kirstin Condict, DPT
• Margarita Contreras
• Robert Brand Coon, DMD

• Customized Equipment (DME) in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.