Active NPI
Collena Robertson, DMD
- General Practice Dentistry
- Anniston, AL
National Provider Identifier
1659933190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.0006643-C1
- Practice address
- 1316 Noble St
Anniston, AL 36201-4643 - Phone
- (256) 492-0131
- Fax
- (256) 235-2019
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0006643-C1 | AL | |
| General Practice Dentistry | 1223G0001X | D.0006643-C1 | AL | Primary |
Addresses
Primary practice location
1316 Noble St
Anniston, AL 36201-4643
Mailing address
173 Lenox Dr
Birmingham, AL 35242-5246
Phone (704) 249-7657
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006643-C1 | AL | MD | General Practice Dentistry |
| D.0006643-C1 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatley Health Services, Inc. | Current | Accepting new patients | |
| Whatley Health Services Inc | Current | Accepting new patients |
Locations
2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250
Interoperability endpoints
- crobertson599804@direct.ochin.org
Organizations & group practices 2
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.
-
dba Maude L. Whatley Health Centers
- Federally Qualified Health Center (FQHC)
- Tuscaloosa, AL
- NPI 1063422756
-
dba Whatley Health Services Pharmacy
- Community/Retail Pharmacy
- Tuscaloosa, AL
- NPI 1477276749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1659933190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 LENOX DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425246",
"telephone_number": "704-249-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 NOBLE ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014643",
"telephone_number": "256-492-0131",
"fax_number": "256-235-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "COLLENA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "0006643-C1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.0006643-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.