Individual provider Active NPI

Robert Harris Collier, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1124125885
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041638-1 Issued in NY
Practice address
150 Broadway RM 1310
New York, NY 10038-4365
Phone
(212) 587-0202
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X AZ2888 AZ
Dentist 122300000X 041638-1 NY Primary

Addresses

Primary practice location

150 Broadway RM 1310
New York, NY 10038-4365

Mailing address

150 Broadway RM 1310
New York, NY 10038-4365
Phone (212) 587-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041638-1NYMDDentist
AZ2888AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Suite 2229 Dental PLLC Dentist CurrentSince Aug 28, 2022 Accepting new patients
Robert Collier D.D.S., L.L.C. Dentist Past Accepting new patients

Locations

150 Broadway
Rm 1310
New York, NY 10038
Phone (212) 587-0202

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1124125885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1310",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384365",
            "telephone_number": "212-587-0202",
            "fax_number": "520-742-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1310",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384365",
            "telephone_number": "212-587-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "ROBERT",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ2888",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041638-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.