Individual provider Active NPI

Olivia Collier, DMD

  • Dentist
  • Bellingham, WA
National Provider Identifier
1619058450
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10064 Issued in WA
Practice address
1310 Broadway Suite 1-a
Bellingham, WA 98225-2953
Phone
(360) 738-9791
Fax
(360) 738-9869
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10064 WA Primary

Addresses

Primary practice location

1310 Broadway Suite 1-a
Bellingham, WA 98225-2953

Mailing address

1310 Broadway St Ste 1a
Bellingham, WA 98225-2953
Phone (360) 738-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20150701002948 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325350416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10064WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyssa Neelley DMD PLLC CurrentSince Jun 15, 2025 Accepting new patients
Olivia Collier DMD, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Olivia Collier, D.M.D. and Jon Engelby, D.M.D., P.L.L.C. Dentist Past Accepting new patients

Locations

1310 Broadway
Ste 1A
Bellingham, WA 98225
Phone (360) 738-9791

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1619058450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY ST STE 1A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252953",
            "telephone_number": "360-738-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY SUITE 1-A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252953",
            "telephone_number": "360-738-9791",
            "fax_number": "360-738-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "10064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.