Cheryl Ann Colker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34020 Issued in CA

Practice address

171 Avenida Vaquero
Suite #a
San Clemente, CA 92672-3601

Phone

(949) 366-0291

Fax

(949) 340-2538

NPI assigned

Sep 2, 2006

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699877571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "SUITE 108-133",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732825",
            "telephone_number": "949-366-0291",
            "fax_number": "949-340-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 AVENIDA VAQUERO",
            "address_2": "SUITE #A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723601",
            "telephone_number": "949-366-0291",
            "fax_number": "949-340-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLKER",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily A Cobb
• Cogent Diagnostic Laboratories, Inc.
• Cole Vision Corporation
• Ansley Colebank, MS, OTR/L
• Colin X Jairam MD Inc
• John Everett Collings
• McKenzie Taylor Collins, MS, OTR/L
• Beverly Combs, RPH
• Comprehensive Medical Services
• Comprenhensive Vocational Services

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.