Organization Active NPI

J Diane Colter, DDS, PA

  • Dentist
  • Dallas, TX
National Provider Identifier
1740649441
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20111 Issued in TX
Legal business name
J DIANE COLTER, DDS, PA
Practice address
12300 Inwood Rd.
Ste #220
Dallas, TX 75244
Phone
(972) 233-4439
Fax
(972) 233-4081
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Jennifer Diane Colter, D.D.S.
Title
Owner/President
Phone
(972) 233-4439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20111 TX Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

12300 Inwood Rd.
Ste #220
Dallas, TX 75244

Mailing address

12300 Inwood Rd.
Ste #220
Dallas, TX 75244
Phone (972) 233-4439

Other names 1

  • DBA: All About Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12300 Inwood Rd
Ste 220
Dallas, TX 75244
Phone (972) 233-4439

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1740649441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 INWOOD RD.",
            "address_2": "STE #220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "972-233-4439",
            "fax_number": "972-233-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 INWOOD RD.",
            "address_2": "STE #220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "972-233-4439",
            "fax_number": "972-233-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DIANE COLTER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "COLTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-233-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20111",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: All About Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.