Brian Andrew Collins, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

016.0133932 Issued in VT

Practice address

132 S Village GRN
Middlebury, VT 05753-6900

Phone

(802) 388-0909

NPI assigned

Jun 14, 2018

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middlebury Pediatric Dentistry, PLLC

  dba Middlebury Pediatric Dentistry

  • Pediatric Dentistry
  • Middlebury, VT
  • NPI 1053937292
  NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1952895815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S VILLAGE GRN",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057536900",
            "telephone_number": "802-388-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S VILLAGE GRN",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057536900",
            "telephone_number": "802-388-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858008",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VT",
            "license": "016.0133932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Clausen, MD
• Carl Wade Cobb, MD
• Patrice Peterson Colander, M.D.
• Arthur Thompson Colley, M.D.
• Kathleen Colligan Lowell, LADC
• Brian Darnell Collins, D.D.S.
• Columbus Medical Services, LLC (The Columbus Organization)
• Columbus Medical Services, LLC (The Columbus Organization)
• Nancy Joyce Conant, LICSW
• George Martin Connelly, PA-C, MHP

• Pediatric Dentistry in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Pediatric Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.