Active NPI
Matthew Steven Collins, DMD
- Dentist
- Eugene, OR
National Provider Identifier
1720649668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11074
- Practice address
- 1055 Valley River Way
Eugene, OR 97401-2159 - Phone
- (541) 255-2205
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | D11074 | OR | Primary |
Addresses
Primary practice location
1055 Valley River Way
Eugene, OR 97401-2159
Mailing address
1759 Via Pajaro
Camarillo, CA 93012-4086
Phone (805) 415-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11074 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Collins DMD LLC | Single Specialty | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1720649668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 VIA PAJARO",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124086",
"telephone_number": "805-415-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 VALLEY RIVER WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012159",
"telephone_number": "541-255-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MATTHEW",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OR",
"license": "D11074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.