Active NPI
Rodney Michael Collins, D.M.D.
- General Practice Dentistry
- Redlands, CA
National Provider Identifier
1003018383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31907
- Practice address
- 407 Brookside Ave
Redlands, CA 92373-4609 - Phone
- (909) 335-3644
- Fax
- (909) 335-3641
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31907 | CA | Primary |
Addresses
Primary practice location
407 Brookside Ave
Redlands, CA 92373-4609
Mailing address
407 Brookside Avenue
Redlands, CA 92373
Phone (909) 335-3644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31907 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodney M. Collins Dental Corporation | Current | Accepting new patients |
Locations
407 Brookside Ave
Redlands, CA 92373
Phone (909) 335-3644
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Redlands, CA
- NPI 1003796640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003018383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 BROOKSIDE AVENUE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-335-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734609",
"telephone_number": "909-335-3644",
"fax_number": "909-335-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "RODNEY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.