NPIMap

Organization Active NPI

Carey McNeill Collins, DDS, Ms, PLLC

Doing business as Lumberton Pediatric Dentistry

  • Pediatric Dentistry
  • Lumberton, NC
National Provider Identifier
1356759278
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9206 Issued in NC
Legal business name
CAREY MCNEILL COLLINS, DDS, MS, PLLC
Doing business as
Lumberton Pediatric Dentistry
Practice address
725 Wesley Pines Rd
Lumberton, NC 28358-2105
Phone
(910) 802-4777
Fax
(910) 887-2202
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Carey McNeill Collins, DDSNPI 1740422864
Title
Pediatric Dentist/Owner
Phone
(910) 868-0907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9206 NC Primary

Addresses

Primary practice location

725 Wesley Pines Rd
Lumberton, NC 28358-2105

Mailing address

725 Wesley Pines Rd
Lumberton, NC 28358-2105
Phone (910) 802-4777

Other identifiers 1

IdentifierTypeStateIssuer
1740422864MedicaidNC

Other names 1

  • Lumberton Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

725 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 802-4777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1356759278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-802-4777",
            "fax_number": "910-887-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-802-4777",
            "fax_number": "910-887-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY MCNEILL COLLINS, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "MCNEILL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "910-868-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740422864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumberton Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.