Kollin Stiner

Primary specialty

DentistTaxonomy code 122300000X

License

D12817 Issued in MN

Practice address

101 Bodin Cir
Travis AFB, CA 94535-1809

Phone

(707) 423-7069

NPI assigned

Oct 14, 2010

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David Gunelson DDS

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1982908315
  NPD (past)
• North Star Dental Care, P.C.

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1528455656
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1366752255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461728",
            "telephone_number": "218-263-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINER",
        "first_name": "KOLLIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Mark Stanley, D.D.S.
• Robert Michael Stanley, CRNA
• Joshua Jon Stefanik, PT
• Bill Steh, PHD
• Brian David Stephens, M.D., M.S.
• Justin Stinson
• Tara Aleyne Stogdill, PHARM.D.
• Benjamin E Stone, D.O.
• Sara Rebecca Storch, MD
• Rachel M Stout, DO

• Dentist in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.

Verify at the official NPI Registry.