Organization Active NPI

Collins Family Dentistry

  • Dental Hygienist
  • Lanett, AL
National Provider Identifier
1306868401
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5836 Issued in AL
Legal business name
COLLINS FAMILY DENTISTRY
Practice address
2105 Broad Ave
Ste E
Lanett, AL 36863-3117
Phone
(334) 642-2200
NPI assigned
Jul 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Paige J Collins, D.M.D.
Title
Dentist
Phone
(334) 642-2200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4359 AL
General Practice Dentistry 1223G0001X 4617 AL
Dental Hygienist 124Q00000X 5480 AL
Dental Hygienist 124Q00000X 5836 AL Primary

Addresses

Primary practice location

2105 Broad Ave
Ste E
Lanett, AL 36863-3117

Mailing address

2105 Broad Ave
Ste E
Lanett, AL 36863
Phone (334) 642-2200

Other identifiers 2

IdentifierTypeStateIssuer
860466OtherUNITED CONCORDIA PROVIDER
91622OtherBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

2105 S Broad Ave
Ste E
Lanett, AL 36863
Phone (334) 642-2200

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306868401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BROAD AVE",
            "address_2": "STE E",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "36863",
            "telephone_number": "334-642-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BROAD AVE",
            "address_2": "STE E",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368633117",
            "telephone_number": "334-642-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-642-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4617",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AL",
            "license": "5480",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AL",
            "license": "5836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "860466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "91622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanett, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.