Individual provider Active NPI

Kera Deann Collier, D.D.S.

  • Dentist
  • Cedar Hill, TX
National Provider Identifier
1912138751
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25287 Issued in TX
Practice address
918 E Pleasant Run Rd Ste 120
Cedar Hill, TX 75104-1805
Phone
(972) 779-0300
Fax
(972) 779-0300
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6146 OK
Dentist 122300000X 25287 TX Primary

Addresses

Primary practice location

918 E Pleasant Run Rd Ste 120
Cedar Hill, TX 75104-1805

Mailing address

918 E Pleasant Run Rd Ste 120
Cedar Hill, TX 75104-1805
Phone (972) 779-0300

Other practice location 1

3326 Hatcher St
Ste #100
Dallas, TX 75215-4437
Phone (214) 421-1373

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6146OKMDDentist
25287TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Family Dnetistry PLLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

918 E Pleasant Run Rd
Ste 120
Cedar Hill, TX 75104
Phone (972) 779-0300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1912138751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E PLEASANT RUN RD STE 120",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041805",
            "telephone_number": "972-779-0300",
            "fax_number": "972-779-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E PLEASANT RUN RD STE 120",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041805",
            "telephone_number": "972-779-0300",
            "fax_number": "972-779-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3326 Hatcher St",
            "address_2": "Ste #100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752154437",
            "country_code": "US",
            "telephone_number": "214-421-1373",
            "fax_number": "214-421-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "KERA",
        "middle_name": "DEANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6146",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.