Adaira Jevonne Collins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5652 Issued in AL

Practice address

1110 Meridian St N
Huntsville, AL 35801-4636

Phone

(256) 428-7276

Fax

(256) 428-7259

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AL

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.

• Heals Inc

  • Otolaryngology Physician
  • Huntsville, AL
  • NPI 1841346236
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1487802286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MERIDIAN ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014636",
            "telephone_number": "256-428-7276",
            "fax_number": "256-428-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MERIDIAN ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014636",
            "telephone_number": "256-428-7276",
            "fax_number": "256-428-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ADAIRA",
        "middle_name": "JEVONNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Colley, PHARMD
• Terry A. Colley, LPC
• Katherine Collier
• Lydell Collier, PHARMD
• Veronica Collier, M.D.
• Cary Claude Collins, DMD
• Derek Collins
• Deshelia Collins
• Garrian Collins, MS
• Jacquelyn Olivia Collins, O.D.

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.