Organization Active NPI

Jason S Collier DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cordova, TN
National Provider Identifier
1043745169
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS0000008695 Issued in TN
Legal business name
JASON S COLLIER DDS PLLC
Practice address
850 Willow Tree Cir
Cordova, TN 38018-6376
Phone
(901) 756-0078
NPI assigned
Apr 26, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Jason Collier, DDS
Title
Owner
Phone
(901) 756-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000008695 TN Primary

Addresses

Primary practice location

850 Willow Tree Cir
Cordova, TN 38018-6376

Mailing address

850 Willow Tree Cir
Cordova, TN 38018-6376

National Provider Directory

National Provider Directory

Locations

850 Willow Tree Cir
Cordova, TN 38018
Phone (901) 756-0078

Practitioners & affiliated clinicians

Practitioners 1

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": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1043745169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186376",
            "telephone_number": "901-756-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S COLLIER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-756-0078",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000008695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.