Mark William Collins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37990 Issued in CA

Practice address

12285 Scripps Poway Pkwy
Suite 102
Poway, CA 92064-6149

Phone

(858) 536-8338

Fax

(858) 536-8144

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By 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 CA

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.

• Mark W. Collins.D.D.S.,Inc.

  • General Practice Dentistry
  • Poway, CA
  • NPI 1659463057
  NPD (past) Authorized official
• Jinhyun Cho, D.D.S., Inc.

  • Dentist
  • Poway, CA
  • NPI 1437648128
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457452047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY",
            "address_2": "SUITE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646149",
            "telephone_number": "858-536-8338",
            "fax_number": "858-536-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 SCRIPPS POWAY PKWY",
            "address_2": "SUITE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646149",
            "telephone_number": "858-536-8338",
            "fax_number": "858-536-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Steven Cohen, M.D.
• Kerianne Colberg, LMFT
• Karin E Colden, LCSW
• Caryn Ruth Cole, LMFT
• Paul Howard Coleman Jr., DMD
• William Sidney Combs, D.D.S.
• Vanessa Dawn Comola, MSTOM
• Connections Speech Therapy
• Edward Conner
• Alan John Conrad, MD

• General Practice Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• General Practice Dentistry in California

• 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.