John M Collier, DMD – Endodontics in Birmingham, AL

Key facts

NPI: 1376552158
Entity type: Individual (NPI type 1)
Primary specialty: Endodontics 1223E0200X
License: 4689 (AL)
Practice address: 1771 Independence CT Ste 3
Birmingham, AL 35216-1232
Phone: (205) 870-9441
Fax: (205) 870-9442
NPI assigned: Aug 7, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Brookwood Endodontics Tuscaloosa, LLC Endodontics · Tuscaloosa, AL · NPI 1528410644

NPD (past) Authorized official ENDODONTICS
Brookwood Endodontics, P.C. Endodontics · Vestavia, AL · NPI 1437505104

NPD (past) Authorized official ENDODONTICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4689	AL	MD	Endodontist

Practice roles

Organization	Specialty	Status	New patients
Brookwood Endodontics Tuscaloosa, LLC	Endodontics	Past	Accepting new patients
Brookwood Endodontics, P.C.	Endodontics	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Endodontics	1223E0200X	4689	AL	Yes

Addresses

Primary practice location

1771 Independence CT Ste 3
Birmingham, AL 35216-1232

Mailing address

1771 Independence CT Ste 3
Birmingham, AL 35216-1232
Phone (205) 870-9441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376552158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT STE 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161232",
            "telephone_number": "205-870-9441",
            "fax_number": "205-870-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT STE 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161232",
            "telephone_number": "205-870-9441",
            "fax_number": "205-870-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "4689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

All providers in Birmingham, AL · Endodontics in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.