NPIMap

Organization Active NPI

Susan M Collins DMD PA

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1013184548
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2854 Issued in SC
Legal business name
SUSAN M COLLINS DMD PA
Practice address
1251 Ebenezer Rd
Rock Hill, SC 29732-2353
Phone
(803) 324-3277
Fax
(803) 324-2264
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Susan M Collins, DMDNPI 1346359569
Title
Owner
Phone
(803) 324-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2854 SC Primary

Addresses

Primary practice location

1251 Ebenezer Rd
Rock Hill, SC 29732-2353

Mailing address

1251 Ebenezer Rd
Rock Hill, SC 29732-2353
Phone (803) 324-3277

Other identifiers 1

IdentifierTypeStateIssuer
Z-28541MedicaidSC

National Provider Directory

National Provider Directory

Locations

1251 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 324-3277

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1013184548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322353",
            "telephone_number": "803-324-3277",
            "fax_number": "803-324-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322353",
            "telephone_number": "803-324-3277",
            "fax_number": "803-324-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M COLLINS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-324-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z-28541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.