Joseph Lewis Colon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019419 Issued in MI

Practice address

20805 E 12 Mile Rd Ste 100
Suite 100
Roseville, MI 48066-6502

Phone

(586) 773-9660

Fax

(586) 773-2640

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.L. Colon, DDS, PLLC

  • General Practice Dentistry
  • Roseville, MI
  • NPI 1932450483
  NPD (past) Authorized official
• Bingham Farms Family Dentistry

  • General Practice Dentistry
  • Bingham Farms, MI
  • NPI 1104235225
  NPD (past)
• William F Janelle D.D.S., P.C.

  • General Practice Dentistry
  • Bingham Farms, MI
  • NPI 1215011499
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1811078231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 E 12 MILE RD STE 100",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666502",
            "telephone_number": "586-773-9660",
            "fax_number": "586-773-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20805 E 12 MILE RD STE 100",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666502",
            "telephone_number": "586-773-9660",
            "fax_number": "586-773-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOSEPH",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elany Clark, LLMSW
• Victoria Dyshelle Clark
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• Karen Renee Cochenour, COTA
• Tanisha T Cole
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• Nashana Coney
• Convenient RV PC
• Jamie Cook
• Costco Wholesale Corporation

• All providers in Roseville, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.