Individual provider Active NPI

F.H. Collins III, DDS

  • Dentist
  • Winter Springs, FL
National Provider Identifier
1962542852
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15637 Issued in FL
Practice address
5744 Canton CV
Winter Springs, FL 32708-5034
Phone
(407) 699-9831
Fax
(407) 699-9896
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15637 FL Primary

Addresses

Primary practice location

5744 Canton CV
Winter Springs, FL 32708-5034

Mailing address

5744 Canton CV
Winter Springs, FL 32708-5034
Phone (407) 699-9831

Other names 1

  • Dr. Fay Hempstead Collins III Professional name

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
DN15637FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
F.H. Collins III DDS PA Dentist Current Accepting new patients

Locations

5744 Canton Cv
Winter Springs, FL 32708
Phone (407) 669-9831

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962542852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 CANTON CV",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085034",
            "telephone_number": "407-699-9831",
            "fax_number": "407-699-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 CANTON CV",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085034",
            "telephone_number": "407-699-9831",
            "fax_number": "407-699-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "F.H.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAY",
            "last_name": "COLLINS",
            "middle_name": "HEMPSTEAD",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.