OrganizationActive
Colin S. Ilas D.D.S.
NPI 1629616479 · General Practice Dentistry · San Jose, CA
Colin S. Ilas D.D.S. is a General Practice Dentistry organization in San Jose, CA (NPI 1629616479).
Provider details
- NPI number
- 1629616479
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Linnette Mangoba, Office Manager(408) 928-1450
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Phone: (408) 928-1450
Fax: (408) 928-1454
Street-level locationGet directions
Mailing address
1206 N Capitol Ave Ste 101
San Jose, CA 95132-2572
Additional practice locations (1)
- 2030 Diamond Blvd Ste 25Concord, CA 94520-5753Phone: (925) 687-8000
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Frequently asked questions
- What is Colin S. Ilas D.D.S.'s NPI number?
- Colin S. Ilas D.D.S.'s National Provider Identifier (NPI) is 1629616479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colin S. Ilas D.D.S.?
- Colin S. Ilas D.D.S. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Colin S. Ilas D.D.S. located?
- Colin S. Ilas D.D.S.'s practice location on file with NPPES is 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572.
- What is Colin S. Ilas D.D.S.'s phone number?
- The practice phone number listed in the NPPES registry for Colin S. Ilas D.D.S. is (408) 928-1450.
- Who is the authorized official for Colin S. Ilas D.D.S.?
- The authorized official listed on Colin S. Ilas D.D.S.'s NPPES record is Linnette Mangoba, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colin S. Ilas D.D.S.'s NPI active?
- Yes — Colin S. Ilas D.D.S.'s NPI (1629616479) is active in the NPPES registry as of the last update on 2019-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.