Kevin Joseph Collins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

LA4264 Issued in LA

Practice address

6619 Airline Dr
Suite B
Metairie, LA 70003-5169

Phone

(504) 733-0484

Fax

(504) 733-0326

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447372578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700035169",
            "telephone_number": "504-733-0484",
            "fax_number": "504-733-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700035169",
            "telephone_number": "504-733-0484",
            "fax_number": "504-733-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "LA4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Cheyenne Collins, PLPC
• Janayvia Kerriunna Collins
• Jeannette A. Collins
• Jennifer Collins, DNP
• Joshua Michael Collins, PA
• Michael James Collins, MD
• Sean Michael Collins, M.D.
• Shaila Collins
• Vernita Collins
• Carli Marie Collis, MS, PLPC

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.