Individual provider Active NPI

Stephen Charles Collins, M.D., PH.D.

  • Reproductive Endocrinology Physician
  • Dallas, TX
National Provider Identifier
1740571652
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
R7421 Issued in TX
Practice address
7777 Forest LN Ste C638
Dallas, TX 75230-6858
Phone
(972) 566-6686
NPI assigned
Apr 26, 2011
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X R7421 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C638
Dallas, TX 75230-6858

Mailing address

7777 Forest LN Ste C638
Dallas, TX 75230-6858

Other practice location 1

150 Sargent Dr
Second Floor
New Haven, CT 06511-6100
Phone (203) 785-4708

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R7421TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Reproductive Endocrinology Reproductive Endocrinology Current Accepting new patients

Locations

7777 Forest Ln
Ste C638
Dallas, TX 75230
Phone (972) 566-6686

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1740571652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C638",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C638",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306858",
            "telephone_number": "972-566-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sargent Dr",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116100",
            "country_code": "US",
            "telephone_number": "203-785-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "R7421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.