Mark Collinsworth, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

017629 Issued in NY

Practice address

160 Main St
Penn Yan, NY 14527-1204

Phone

(315) 531-9102

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1740772110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-787-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271204",
            "telephone_number": "315-531-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINSWORTH",
        "first_name": "MARK",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "017629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Christensen, P.T.
• Sara L Christensen, R.N.
• Brittany Clancy, DPT
• Susan Carole Clark
• Carol H Clendenin, LCSW-R
• Marlene Ann Comfort, NP
• Mary Barbara Corwin, RN
• Constance Covert, LCSW
• Crooked Lake Family Medicine
• Peggy Cummings

• Dental Hygienist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.