Jennifer Diane Colter, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20111 Issued in TX

Practice address

5211 Forest LN Ste 127
Dallas, TX 75244-8038

Phone

(972) 233-4439

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881742393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 FOREST LN STE 127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 FOREST LN STE 127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448038",
            "telephone_number": "972-233-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTER",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROVIDER NUMBER",
            "identifier": "G60008-1",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1747685",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0033BT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Gabriel Colon
• Caitlynn A Colpoys
• Colquitt & Associates Resource Group, Inc.
• Abigail Demiano Colquitt, CRNA
• John Adam Colquitt, MD
• Shandon M Colter, D.D.S.
• Jill C. Coltharp, CNM
• Chad Colucci, DPT
• Columbia Dental, P.a.
• Columbia Hospital at Medical City Dallas Subsidiary LP

• Pediatric Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.