Grant Conrad Collins, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D12822 Issued in MN

Practice address

2946 Jeremiah LN NW
Rochester, MN 55901-4445

Phone

(507) 258-5400

NPI assigned

Jun 29, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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 Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester, MN
  • NPI 1700491545
  NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1811208424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 JEREMIAH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014445",
            "telephone_number": "507-258-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 JEREMIAH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014445",
            "telephone_number": "507-258-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GRANT",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D12822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collins Orthodontics, PA
• Bethelhem Hope Collins
• Charles S Collins, MD
• Danielle Collins, MB BCH BAO
• Douglas Collins, M.D.
• Jeremy Douglas Collins, M.D.
• Kathryn Mary Collins, MS, RN, CNP, CNS
• Kianna Collins
• Mark S Collins, M.D.
• Nerissa Michelle Collins, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.