Active NPI
Ahmed K Collins, D.M.D
- Dentist
- Phoenix, AZ
National Provider Identifier
1285780833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7130
- Practice address
- 6231 S Central Ave
Phoenix, AZ 85042-4236 - Phone
- (973) 698-4234
- Fax
- (480) 300-5526
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13168 | MD | |
| Dentist | 122300000X | D7130 | AZ | Primary |
Addresses
Primary practice location
6231 S Central Ave
Phoenix, AZ 85042-4236
Mailing address
6231 S Central Ave
Phoenix, AZ 85042-4236
Phone (973) 698-4234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350741 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701001240 | AZ | Order and Referring Only - Dentist | 4587976733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7130 | AZ | MD | Dentist |
| 13168 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L. Morse, DMD, P.C. | Past | Accepting new patients | |
| Mark a Shousha, DDS PC | Dentist | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Chandler, AZ
- NPI 1952846297
-
- Dentist
- Chandler, AZ
- NPI 1811199284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1285780833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6231 S CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424236",
"telephone_number": "973-698-4234",
"fax_number": "480-300-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6231 S CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424236",
"telephone_number": "973-698-4234",
"fax_number": "480-300-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "AHMED",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13168",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350741",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.