Active NPI
Laura S. Collier, D.D.S.
- Dentist
- Excelsior, MN
National Provider Identifier
1720049570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11680
- Practice address
- 348 2ND Street, Suite #200
Excelsior, MN 55331 - Phone
- (952) 474-6515
- Fax
- (952) 474-1206
- NPI assigned
- Mar 31, 2006
- Last updated
- Dec 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11680 | MN | Primary |
Addresses
Primary practice location
348 2ND Street, Suite #200
Excelsior, MN 55331
Mailing address
348 2ND Street Suite #200
Excelsior, MN 55331
Phone (952) 474-6515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912002943 | MN | Order and Referring Only - Oral Surgery | 4981977071 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11680 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Family Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Excelsior, MN
- NPI 1245315829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1720049570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 2ND STREET SUITE #200",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-474-6515",
"fax_number": "952-474-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 2ND STREET, SUITE #200",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-474-6515",
"fax_number": "952-474-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "LAURA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D11680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Excelsior, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.