Organization Active NPI

Steven D Collins, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1033445309
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LA2911 Issued in LA
Legal business name
STEVEN D COLLINS, DDS
Practice address
11700 Haymarket Ave
Baton Rouge, LA 70816-6009
Phone
(225) 292-4321
Fax
(225) 292-0584
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Mrs. Eileen S Collins
Title
Office Manager
Phone
(225) 292-4321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X LA2911 LA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X LA5396 LA

Addresses

Primary practice location

11700 Haymarket Ave
Baton Rouge, LA 70816-6009

Mailing address

11700 Haymarket Ave
Baton Rouge, LA 70816-6009
Phone (225) 292-4321

Other identifiers 2

IdentifierTypeStateIssuer
844912OtherLAUNITED CONCORDIA
F1249OtherLABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

11700 Haymarket Ave
Baton Rouge, LA 70816
Phone (225) 292-4321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1033445309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 HAYMARKET AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166009",
            "telephone_number": "225-292-4321",
            "fax_number": "225-292-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 HAYMARKET AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166009",
            "telephone_number": "225-292-4321",
            "fax_number": "225-292-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D COLLINS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-292-4321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA2911",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA5396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "844912",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F1249",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.