Individual provider Active NPI

Thomas A Collins Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, MO
National Provider Identifier
1831184423
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
015066 Issued in MO
Practice address
1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone
(417) 887-8800
Fax
(417) 887-6265
NPI assigned
Sep 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 015066 MO Primary

Addresses

Primary practice location

1103 E Montclair St
Suite 100
Springfield, MO 65807-5076

Mailing address

1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone (417) 887-8800

Other identifiers 5

IdentifierTypeStateIssuer
11922OtherBC/S DENTAL
15055OtherDELTA
15440OtherBC/S MEDICAL
15440OtherBLUE CHOICE
159046OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000184 MO Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 1759336324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gipson, Arquitt, Meyer and Shaner, DDS, PCGroup PAC ID 6103886981, 7 clinicians

Practice addresses (Care Compare)

1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone 4178878800254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gipson, Arquitt, Meyer and Shaner DDS, PC Oral and Maxillofacial Surgery CurrentSince Dec 31, 1991 Accepting new patients
C. Rex Witherspoon Surgery Center Inc CurrentSince Sep 23, 2024 Accepting new patients
Oral Anesthesia Group Inc Past Accepting new patients

Locations

102 SMT Dr
Branson, MO 65616
Phone 41788788001254

102 SMT Dr
Branson, MO 65616

1440 State Highway 248
Branson, MO 65616
Phone (417) 337-5770

1103 E Montclair St
Springfield, MO 65807
Phone (316) 616-8157

1103 E Montclair St
Ste 110
Springfield, MO 65807
Phone (417) 447-2482

1103 E Montclair St
Ste 100
Springfield, MO 65807
Phone (414) 887-8800

Interoperability endpoints

  • Direct secure messaging: thomas.collins@cernerdirect.coxhealth.com

Organizations & group practices 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831184423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E MONTCLAIR ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075076",
            "telephone_number": "417-887-8800",
            "fax_number": "417-887-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E MONTCLAIR ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075076",
            "telephone_number": "417-887-8800",
            "fax_number": "417-887-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "015066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/S DENTAL",
            "identifier": "11922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "15055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/S MEDICAL",
            "identifier": "15440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "15440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "159046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.