Qun Collins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

AZ5020 Issued in AZ

Practice address

1501 E Camp Mohave Rd # 1
Fort Mohave, AZ 86426-9406

Phone

(928) 758-8887

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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 AZ

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 and National Provider Directory roles.

• Fort Mohave Dental Care PLLC

  • Dentist
  • Fort Mohave, AZ
  • NPI 1750556932
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1679748859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E CAMP MOHAVE RD # 1",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269406",
            "telephone_number": "928-758-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E CAMP MOHAVE RD # 1",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269406",
            "telephone_number": "928-758-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "QUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Eileen Cash, FNP-C
• Ali Chaudhry, MD
• CL Valley Dental
• Clarity Mental Health Counselling, PLLC
• Mark Alan Collins, D.D.S
• Colorado River Pediatrics, LLC
• Colorado River Physical Therapy LLC
• Colorado River Primary Care, Inc
• Vicky Renee Conder-Elliott, RD
• Copper State Medical Center

• Dentist in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.