Christopher James Collie, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414786 Issued in VA

Practice address

5204 Patterson Ave
Richmond, VA 23226-1500

Phone

(804) 282-3838

Fax

(804) 282-3874

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friend and Lawrence Dentistry, PLLC

  • Dental Clinic/Center
  • Richmond, VA
  • NPI 1093268997
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1013324938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261500",
            "telephone_number": "804-282-3838",
            "fax_number": "804-282-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261500",
            "telephone_number": "804-282-3838",
            "fax_number": "804-282-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF DENTAL EXAMINERS",
            "identifier": "9963",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF DENTISTRY",
            "identifier": "0401414786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collaborative Care Psychiatry, LLC
• Mackenzie Lake Colleton, DPT
• John Christian Colletti, PSYD
• Amelia Holder Colley, M.D.
• Amanda Dickerson Collie, DDS
• Carl Hampden Collier, LPC
• Hunter Collier, BCABA, LABA
• Susanne M Colligon, NP
• Constance K Collins Davis
• Aimee Collins, MD

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.