COLIN S. ILAS D.D.S.
NPI 1629616479
Dentist - General Practice in San Jose, CA

Active since December 11, 2019
1206 N CAPITOL AVE STE 101, SAN JOSE, CA 95132(408) 928-1450(408) 928-1454 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colin S. Ilas D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN S. ILAS D.D.S. (NPI 1629616479) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Concord and lists Linnette Felipe Mangoba, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629616479
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLIN S. ILAS D.D.S.
Location Address1206 N CAPITOL AVE STE 101San Jose, CA 95132-2572
Mailing Address1206 N Capitol Ave Ste 101San Jose, CA 95132-2572 · (408) 928-1450 · Fax (408) 928-1454
Fax(408) 928-1454
Organization SubpartNo
Authorized OfficialLinnette Felipe MangobaOffice Manager · (408) 928-1450
Enumeration DateDecember 11, 2019
NPI 1629616479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1206 N CAPITOL AVE STE 101, San Jose, CA 95132

Secondary Practice Location 1

Location 12030 Diamond Blvd Ste 25Concord, CA 94520-5753 · Phone (925) 687-8000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1206 N CAPITOL AVE STE 101
SAN JOSE, CA 95132
Dentist (General Practice)
1206 N CAPITOL AVE STE 101
SAN JOSE, CA 95132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin S. Ilas D.D.S.'s NPI number?

The NPI number for Colin S. Ilas D.D.S. is 1629616479. It was assigned to this organization in the NPPES registry on December 11, 2019.

Where is Colin S. Ilas D.D.S. located?

Colin S. Ilas D.D.S. is located at 1206 N Capitol Ave Ste 101, San Jose, CA 95132. The listed phone number is (408) 928-1450.

What is Colin S. Ilas D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Colin S. Ilas D.D.S. was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.