Dr. Ryan Collins, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. RYAN COLLINS, PLLC

Doing business as

Banana River Dental

Practice address

141 Coconut Dr
Indialantic, FL 32903-2607

Phone

(321) 543-7829

NPI assigned

Jan 31, 2017

Last updated

Aug 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan CollinsNPI 1912218587

Title

Manager

Phone

(321) 777-6453

Specialties & licenses 1

Addresses

Other names 1

• Banana River Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Collins, DMD

  • General Practice Dentistry
  • Indialantic, FL
  • NPI 1912218587
  NPD Authorized official
• Donald B Cork Jr., DDS

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1346322716
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1336686161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COCONUT DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032607",
            "telephone_number": "321-543-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 COCONUT DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032607",
            "telephone_number": "321-543-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RYAN COLLINS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-777-6453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banana River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William G. Devanney, C.PH.
• Jose Andres Devesa, D.C.
• Joy Dixon, PHARMD
• Matthew Scott Donnan
• Talia Douglas
• Karen Drack, LMHC
• Billy Lee Duke II, MD
• Becky Taylor Durham-Flint, MSW,LCSW
• Edward F. Baines, D.D.S., P.a.
• Carolyn Feltus-Atkinson, MD

• General Practice Dentistry in Indialantic, FL
• Providers in Indialantic, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.