NPIMap

Organization Active NPI

Collins & Montz, D.M.D., P.a.

  • Dentist
  • Melbourne Beach, FL
National Provider Identifier
1659452886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14275 Issued in FL
Legal business name
COLLINS & MONTZ, D.M.D., P.A.
Practice address
524 Ocean Ave
Melbourne Beach, FL 32951-2524
Phone
(321) 725-6565
Fax
(321) 722-3871
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J. Hunter Collins, D.M.D.
Title
Doctor
Phone
(321) 725-6565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14467 FL
Dentist 122300000X 14275 FL Primary

Addresses

Primary practice location

524 Ocean Ave
Melbourne Beach, FL 32951-2524

Mailing address

524 Ocean Ave
Melbourne Beach, FL 32951-2524
Phone (321) 725-6565

National Provider Directory

National Provider Directory

Locations

524 Ocean Ave
Melbourne Beach, FL 32951
Phone (321) 725-6565

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659452886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 OCEAN AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512524",
            "telephone_number": "321-725-6565",
            "fax_number": "321-722-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 OCEAN AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512524",
            "telephone_number": "321-725-6565",
            "fax_number": "321-722-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS & MONTZ, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-725-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14467",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.