Robert J Collins, DMD, MPH

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN13205 Issued in MA

Practice address

240 S 40TH St
Philadelphia, PA 19104-6030

Phone

(215) 490-6171

NPI assigned

Jun 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1225606171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 GATOR PALM DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666446",
            "telephone_number": "239-313-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 40TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046030",
            "telephone_number": "215-490-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "DN13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcollins@dental.upenn.edu",
            "affiliation": "Y",
            "endpointDescription": "non-clinical faculty",
            "affiliationName": "University of Pennsylvania",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "not for patient health information exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "non-clinical",
            "address_1": "3400 Civic Center Blvd",
            "address_2": "2 South Pavilion",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191045127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Collins, LMSW
• Molly Elizabeth Collins, MD
• R Dandridge Collins, PH. D.
• Reagan Collins
• Robert Gerald Collins, CRNA
• Sara Lynn Collins, C.R.N.P.
• Stacy Ann Collins, MS. CCC-SLP
• Stephanie Christina Collins
• Tara Ann Collins, CRNP
• Tarita Nicole Collins, D.O.

• Public Health Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Public Health Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.