Individual provider Active NPI

Margaret Colbert, DMD

  • Dentist
  • Springfield, IL
National Provider Identifier
1801219696
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025352 Issued in IL
Practice address
1140 Rickard Rd
Springfield, IL 62704-6385
Phone
(217) 787-8788
Fax
(217) 787-0178
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019025352 IL Primary

Addresses

Primary practice location

1140 Rickard Rd
Springfield, IL 62704-6385

Mailing address

1140 Rickard Rd
Springfield, IL 62704-6385
Phone (217) 787-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727000881 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143534735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1801219696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 RICKARD RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046385",
            "telephone_number": "217-787-8788",
            "fax_number": "217-787-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 RICKARD RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046385",
            "telephone_number": "217-787-8788",
            "fax_number": "217-787-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.