Individual provider Active NPI

Jose Ernesto Colon, D.M.D., D.M.SC.

  • Oral and Maxillofacial Pathology Dentistry
  • Washington, DC
National Provider Identifier
1881678944
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
2005 Issued in PR
Practice address
6825 16TH St NW
BLDG #54, RM. 3055
Washington, DC 20306-0003
Phone
(202) 782-1805
Fax
(202) 782-3140
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 2005 PR Primary

Addresses

Primary practice location

6825 16TH St NW
BLDG #54, RM. 3055
Washington, DC 20306-0003

Mailing address

8101 Eastern Ave
Apt. a-313
Silver Spring, MD 20910-3156
Phone (301) 920-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2005PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1881678944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 EASTERN AVE",
            "address_2": "APT. A-313",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103156",
            "telephone_number": "301-920-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 16TH ST NW",
            "address_2": "BLDG #54, RM. 3055",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203060003",
            "telephone_number": "202-782-1805",
            "fax_number": "202-782-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOSE",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D., D.M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PR",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.