Timothy Ervin Collins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401007964 Issued in VA

Practice address

616 Campus Drive
Ste 100
Abingdon, VA 24210

Phone

(276) 619-5020

Fax

(276) 619-5100

NPI assigned

Jul 27, 2006

Last updated

Dec 26, 2019By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Timothy E Collins, DDS

  • Pediatric Dentistry
  • Abingdon, VA
  • NPI 1235431735
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1467476986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2346",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242122346",
            "telephone_number": "276-608-8608",
            "fax_number": "276-619-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CAMPUS DRIVE",
            "address_2": "STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24210",
            "telephone_number": "276-619-5020",
            "fax_number": "276-619-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TIMOTHY",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008200041",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1321074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "267057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Thomas Coley, PT, ATC, CSCS
• Caroline Collard, DO
• Rebecca Lynn Colley, COTA
• Haley Brooke Collins, DPT
• Kelsey Collins, PTA
• Kevin Scot Combs, D.O.
• Linda Comer, LPC
• Common Ground Therapy, PLLC
• Community Alternatives Virginia, Inc.
• Brett Shane Compton, O.D.

• Dentist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.