DR. MICHAEL COLVARD (NPI# 1922217298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922217298 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL COLVARD |
| Practice Address |
24871 N Wildberry Bnd Cary IL 60013-2349 |
| Mailing Address |
24871 N Wildberry Bend Cary IL 60013 |
| Practice Telephone | 8474903980 |
| Mailing Telephone | 8474903980 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
| Street Address |
24871 N WILDBERRY BND |
| City | CARY |
| State | IL |
| Zip Code | 60013-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1346333804 | Mary J Jago Krueger | Counselor | 204 Spring Street #27, Cary, IL 60013 | 2006-10-02 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| 1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
| 1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
| 1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
| 1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
| 1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| Find all providers in zip 60013 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437433240 | Zhao Yu, D.d.s., Pllc | Dentist | 3420 Ten Ten Road, Suite 310, Cary, NC 27518-6101 | 2011-09-29 |
| 1073737243 | Zhao J Yu | Dentist | 304 Bridgegate Dr, Cary, NC 27519-7190 | 2007-04-12 |
| 1003906538 | Richard J. Cray, Dmd, Msd, Pa | Dentist | 1142 Executive Cir, Cary, NC 27511-4570 | 2006-10-13 |
| 1851353312 | Ralph Gilbert Montoya | Dentist | 204 Ashville Ave, Suite 30, Cary, NC 27511-6670 | 2006-04-03 |
| 1154550796 | Michael John Brenegan | Dentist | 1003 High House Rd, Suite 102, Cary, NC 27513-3585 | 2009-07-03 |
| 1366648289 | Paul C. Kazmer, Jr.,dmd,ms,pa | Dentist | 130 Preston Executive Dr, Suite 204, Cary, NC 27513-8433 | 2007-06-26 |
| 1902929664 | Jeffrey Allan Iglhaut | Dentist | 1003 High House Rd, Suite 102, Cary, NC 27513-3585 | 2007-04-09 |
| 1922109677 | Paul Chester Kazmer Jr. | Dentist | 130 Preston Executive Dr, Suite #204, Cary, NC 27513-8433 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.