Tristan Collins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00201997 Issued in CO

Practice address

421 W 104TH Ave
Suite #201
Northglenn, CO 80234-4137

Phone

(303) 427-6462

NPI assigned

Jun 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1124467766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE",
            "address_2": "STE 201",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344138",
            "telephone_number": "303-427-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE",
            "address_2": "SUITE #201",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344137",
            "telephone_number": "303-427-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TRISTAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00201997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Jane Coats
• Skyeler Cobb
• Kendall Anne Cochran
• Ann Elisabeth Colbert
• Colin Price MD PLLC
• Colorado Center for Arthritis and Osteoporosis
• Colorado Psychiatry Center, PC
• Colorado Transport
• Colorado Urologic Surgery Center, LLC
• Comfort Dental Group of Northglenn

• General Practice Dentistry in Northglenn, CO
• Providers in Northglenn, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.