John Michael Collier, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7903 Issued in MN

Practice address

1521 Northway Dr
Suite 108
Saint Cloud, MN 56303-4489

Phone

(320) 253-8380

Fax

(320) 253-8419

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Locations

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.

• University of Minnesota Physicians

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1477598118
  Medicare reassignment NPD
• University of Minnesota Physicians

  dba Dental Clinic

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1952546061
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386668101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR",
            "address_2": "SUITE 108",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034489",
            "telephone_number": "320-253-8380",
            "fax_number": "320-253-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR",
            "address_2": "SUITE 108",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034489",
            "telephone_number": "320-253-8380",
            "fax_number": "320-253-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "7903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7903",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54195CO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coborns Inc (Cash Wise Pharmacy #3041)
• Joseph P. Coffey
• Robin Stacey Colburn, CNM
• Jeremy John Colford, LPN
• John David Collier, DDS
• Kelly Sauer Collins, MD
• James David Colt, D.D.S.
• Comfort Care Health LLC
• Communication Plus LLC (Julia Anna Blonigen db Communication Plus)
• Communitywise Services, Inc.

• Pediatric Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.