Colin Delaere, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012138 Issued in AZ

Practice address

13761 N Litchfield Rd Ste 103
Surprise, AZ 85379-4272

Phone

(623) 975-3933

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A. William Choules, D.D.S

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1578157954
  NPD (past)
• Martineau Dentistry PLLC

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1376713362
  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1841039831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 N 63RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13761 N LITCHFIELD RD STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794272",
            "telephone_number": "623-975-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 E Highland Ave Ste 226",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-955-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAERE",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Deangelis, SLPA
• Shari Janelle Debry, CRNA
• Aspen Erik Decker
• Nevaeh Lynn Del Rio
• Daniel Niel Dela Cruz, D.M.D., B.S.N.
• Richard Delarosa, BCBA, LBA
• Kelley Ann Delcamp, MS
• Pauline Patricia Delekta
• Mariflor Delgado Rahim
• Ashley Elizabeth Delgado, DMD

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.