Organization Active NPI

Dr. Roger P. Collins Prof Assn

  • Exclusive Provider Organization
  • Manchester, NH
National Provider Identifier
1780873877
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
237 Issued in NH
Legal business name
DR. ROGER P. COLLINS PROF ASSN
Practice address
395 S Main St
Manchester, NH 03102-4841
Phone
(603) 669-0447
Fax
(603) 669-0850
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Roger Paul Collins, ODNPI 1245395045
Title
President
Phone
(603) 669-0447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 237 NH Primary

Addresses

Primary practice location

395 S Main St
Manchester, NH 03102-4841

Mailing address

395 S Main St
Manchester, NH 03102-4841
Phone (603) 669-0447

Other identifiers 1

IdentifierTypeStateIssuer
80587760MedicaidNH

National Provider Directory

National Provider Directory

Locations

395 S Main St
Manchester, NH 03102
Phone (603) 669-0447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1780873877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024841",
            "telephone_number": "603-669-0447",
            "fax_number": "603-669-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024841",
            "telephone_number": "603-669-0447",
            "fax_number": "603-669-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROGER P. COLLINS PROF ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-669-0447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NH",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80587760",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.