Individual provider Active NPI

John Christopher Collias, DDS

  • Dentist
  • Panama City, FL
National Provider Identifier
1205859345
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16143 Issued in FL
Practice address
45 East Beach Drive, Panama City, FL, USA
Panama City, FL 32401-3240
Phone
(850) 501-0761
NPI assigned
Jul 26, 2006
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47704 CA
Dentist 122300000X DN16143 FL Primary

Addresses

Primary practice location

45 East Beach Drive, Panama City, FL, USA
Panama City, FL 32401-3240

Mailing address

45 East Beach Drive, Panama City, FL, USA
Panama City, FL 32401-5242
Phone (850) 785-5502

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47704CAMDMarriage & Family Therapist
DN16143FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Dental Center Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1205859345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EAST BEACH DRIVE, PANAMA CITY, FL, USA",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015242",
            "telephone_number": "850-785-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EAST BEACH DRIVE, PANAMA CITY, FL, USA",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013240",
            "telephone_number": "850-501-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIAS",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47704",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.