Active NPI
Carolyn Emily Collins, DDS
- Dentist
- Indian Land, SC
National Provider Identifier
1447091467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13979
- Practice address
- 9456 Charlotte Hwy Ste 202
Indian Land, SC 29707-7953 - Phone
- (803) 674-4944
- NPI assigned
- Jun 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13979 | NC | Primary |
| Dentist | 122300000X | DGD.10775 | SC |
Addresses
Primary practice location
9456 Charlotte Hwy Ste 202
Indian Land, SC 29707-7953
Mailing address
4810 Ashley Park LN Apt 1416
Charlotte, NC 28210-3882
Phone (704) 910-9169
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10775 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1447091467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 ASHLEY PARK LN APT 1416",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103882",
"telephone_number": "704-910-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9456 CHARLOTTE HWY STE 202",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077953",
"telephone_number": "803-674-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CAROLYN",
"middle_name": "EMILY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13979",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10775",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.