Kyle Brandon Collins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4440 Issued in ID

Practice address

301 E Ash St
Caldwell, ID 83605-5282

Phone

(208) 454-1222

Fax

(208) 459-6947

NPI assigned

Aug 3, 2012

Sex

Male

Sole proprietor

Yes

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 ID

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

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.

• Collins Family Dentistry

  • Dental Clinic/Center
  • Caldwell, ID
  • NPI 1962750349
  NPD (past) Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1730436189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ASH ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055282",
            "telephone_number": "208-454-1222",
            "fax_number": "208-459-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ASH ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055282",
            "telephone_number": "208-454-1222",
            "fax_number": "208-459-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KYLE",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle Ann Cogswell, FNP-C
• Ellen Cole
• Collins Family Dentistry
• Carol Jean Collins, LCPC
• Kelly Collins, DVM
• Theodore W Colwell, MD
• Community Care Team Ministries
• Community Health Clinics, Inc.
• Community Health Clinics, Inc.
• Community Health Clinics, Inc.

• General Practice Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.