Organization Active NPI

Scot Collins, D.D.S., P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Waco, TX
National Provider Identifier
1114059946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
14912 Issued in TX
Legal business name
SCOT COLLINS, D.D.S., P.C.
Doing business as
Central Texas Oral & Facial Surgery, P.C.
Practice address
600 W. Highway 6
Waco, TX 76712
Phone
(254) 776-1575
Fax
(254) 776-1702
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susie Norris
Title
Office Manager
Phone
(254) 776-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 14912 TX Primary

Addresses

Primary practice location

600 W. Highway 6
Waco, TX 76712

Mailing address

600 W. Highway 6
Waco, TX 76712
Phone (254) 776-1575

Other names 1

  • Central Texas Oral & Facial Surgery, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114059946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-776-1575",
            "fax_number": "254-776-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-776-1575",
            "fax_number": "254-776-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT COLLINS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-776-1575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "14912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Oral & Facial Surgery, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.