Alexis Pickens Collins, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4507 Issued in SC

Practice address

1774 Dutch Fork Rd
Irmo, SC 29063-8829

Phone

(803) 772-7302

Fax

(803) 772-7353

NPI assigned

Aug 13, 2008

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alexis Collins Childrens Dentistry

  • Pediatric Dentistry
  • Columbia, SC
  • NPI 1851662274
  NPD Authorized official
• James Nyland DDS PC

  • Pediatric Dentistry
  • Columbia, SC
  • NPI 1972725299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1003062753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638829",
            "telephone_number": "803-772-7302",
            "fax_number": "803-772-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638829",
            "telephone_number": "803-772-7302",
            "fax_number": "803-772-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ALEXIS",
        "middle_name": "PICKENS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4507",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@collinschildrensdensitry.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1774 Dutch Fork Rd",
            "city": "Irmo",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290638829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhyno Coetsee, PT
• Sandra Ann Coggins, RPH
• Joseph Cole III, LISW
• Julie S Cole, LAC
• Cameo Green Coleman, DNP, APRN, FNP-C
• Columbia Lactation Care LLC
• Columbia Rehabilitation Clinic, Inc.
• Comfort Home Health Care Inc.
• Comprehensive Counseling
• Tiffany Conyers, LCSW, LISW-CP, PMH-C

• Pediatric Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.