Organization Active NPI

Ashley M Collins DDS PA

  • General Practice Dentistry
  • Denver, NC
National Provider Identifier
1104060615
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASHLEY M COLLINS DDS PA
Practice address
6135 Highway 16 S
Denver, NC 28037-9220
Phone
(704) 483-4159
Fax
(704) 483-6669
NPI assigned
Apr 28, 2009
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Ashley M Collins, DDSNPI 1417004060
Title
President
Phone
(704) 483-4159

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6135 Highway 16 S
Denver, NC 28037-9220

Mailing address

PO Box 1005
Denver, NC 28037-1005
Phone (704) 483-4159

Other identifiers 1

IdentifierTypeStateIssuer
8994728MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730003207 NC DME Supplier - Oral Surgery - Dentist 6406182369 Practice locations: Denver, NC

National Provider Directory

National Provider Directory

Locations

6135 S NC 16 Business Hwy
Denver, NC 28037
Phone (704) 483-4159

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": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1104060615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280371005",
            "telephone_number": "704-483-4159",
            "fax_number": "704-483-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 HIGHWAY 16 S",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379220",
            "telephone_number": "704-483-4159",
            "fax_number": "704-483-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY M COLLINS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-483-4159",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994728",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.