Active NPI
Ashley M Collins DDS PA
- General Practice Dentistry
- Denver, NC
National Provider Identifier
1104060615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley M Collins, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994728 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190730003207 | NC | DME Supplier - Oral Surgery - Dentist | 6406182369 | Practice locations: Denver, NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Denver, NC
- NPI 1417004060
-
- Dentist
- Cherryville, NC
- NPI 1750068409
-
- General Practice Dentistry
- Denver, NC
- NPI 1437207453
-
- Dentist
- Kannapolis, NC
- NPI 1922538255
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.