John Michael Colbert, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

997 Clock Tower Dr
Suite D
Springfield, IL 62704-1301

Phone

(217) 787-2547

Fax

(217) 787-1757

NPI assigned

Oct 13, 2006

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851481808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-787-2547",
            "fax_number": "217-787-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 CLOCK TOWER DR",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041301",
            "telephone_number": "217-787-2547",
            "fax_number": "217-787-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie Cody, PHARM.D.
• Arina Cohen, OTR/L
• Drew Anthony Colantino, DMD, MS
• Laura Alyce Colantino
• Robert A. Colantino, D.D.S.
• Margaret Colbert, DMD
• Sarah Colburn
• Cole Vision Corporation
• Kiara Angela Cole
• Logan Emerson Cole, MD

• All providers in Springfield, IL
• General Practice Dentistry in Illinois

• 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.