NPIMap

Organization Active NPI

R. Scott Collins PA

  • Dentist
  • Elkton, MD
National Provider Identifier
1932505229
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15074 Issued in MD
Legal business name
R. SCOTT COLLINS PA
Practice address
400 N Bridge St
Elkton, MD 21921-5304
Phone
(443) 207-8648
NPI assigned
Nov 13, 2014
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. R Scott Collins, DDS
Title
President
Phone
(443) 207-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 15074 MD Primary

Addresses

Primary practice location

400 N Bridge St
Elkton, MD 21921-5304

Mailing address

400 N Bridge St
Elkton, MD 21921-5304
Phone (443) 207-8648

Other identifiers 1

IdentifierTypeStateIssuer
15074OtherMDSTATE LICENCE

National Provider Directory

National Provider Directory

Locations

400 N Bridge St
Elkton, MD 21921
Phone (443) 207-8648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1932505229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215304",
            "telephone_number": "443-207-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215304",
            "telephone_number": "443-207-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. SCOTT COLLINS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-207-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "15074",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.