Active NPI
Ryan Collins, DMD
- Dentist
- Salem, OR
National Provider Identifier
1730258138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8851
- Practice address
- 2300 Lancaster Dr NE
North Lancaster Dental Office
Salem, OR 97305-1223 - Phone
- (503) 370-4843
- Fax
- (503) 375-5737
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- 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 | D8851 | OR | Primary |
Addresses
Primary practice location
2300 Lancaster Dr NE
North Lancaster Dental Office
Salem, OR 97305-1223
Mailing address
5906 SE Taylor St
Portland, OR 97215-2746
Phone (503) 507-0530
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 |
|---|---|---|---|
| D8851 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1730258138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5906 SE TAYLOR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152746",
"telephone_number": "503-507-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LANCASTER DR NE",
"address_2": "NORTH LANCASTER DENTAL OFFICE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051223",
"telephone_number": "503-370-4843",
"fax_number": "503-375-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.