Active NPI
Susan M Collins, D.M.D.
- Dentist
- Rock Hill, SC
National Provider Identifier
1346359569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2854
- Practice address
- 455 Lakeshore Pkwy
Rock Hill, SC 29730-4205 - Phone
- (803) 909-6363
- Fax
- (803) 324-2264
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2854 | SC | Primary |
Addresses
Primary practice location
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Mailing address
455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone (803) 909-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z28541 | Medicaid | SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan M Collins DMD PA | Past | Accepting new patients | |
| Affinity Health Center | Past | Accepting new patients | |
| Family Dental Spa PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Rock Hill, SC
- NPI 1013184548
-
- Federally Qualified Health Center (FQHC)
- Rock Hill, SC
- NPI 1396881066
-
- General Practice Dentistry
- Rock Hill, SC
- NPI 1023518271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1346359569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 LAKESHORE PKWY",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304205",
"telephone_number": "803-909-6363",
"fax_number": "803-324-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LAKESHORE PKWY",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304205",
"telephone_number": "803-909-6363",
"fax_number": "803-324-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z28541",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.