William John Colliver, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9614 Issued in MD

Practice address

2090 Old Farm Dr
Ste. B
Frederick, MD 21702-5400

Phone

(301) 662-5914

Fax

(301) 662-7340

NPI assigned

Aug 12, 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 MD

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

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.

• Colliver Dental Group, P.a.

  • General Practice Dentistry
  • Frederick, MD
  • NPI 1013061563
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467464024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 OLD FARM DR",
            "address_2": "STE. B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025400",
            "telephone_number": "301-662-5914",
            "fax_number": "301-662-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 OLD FARM DR",
            "address_2": "STE. B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025400",
            "telephone_number": "301-662-5914",
            "fax_number": "301-662-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIVER",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "9614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Collins, CRNP
• Rebecca Rosetta Collins
• Susan Collins, SPEECH PATHOLOGIST
• Tara A Collins, OTRL
• Colliver Dental Group, P.a.
• Mary Colson, PHARMD
• Michael E. Comas, LCSW-C
• Stephanie Susan Comer-Concordia, CRNP
• Community Living Inc
• Community Living, Inc.

• Dentist in Frederick, MD
• Providers in Frederick, MD by specialty
• Dentist in Maryland

• 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.