Active NPI
John Greggory Collins, DMD
- Periodontics
- Wilson, NC
National Provider Identifier
1962595918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6132
- Practice address
- 3001 Raleigh Road Pkwy W # B
Wilson, NC 27896-8213 - Phone
- (252) 293-4469
- Fax
- (252) 293-4479
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6132 | NC | |
| Periodontics | 1223P0300X | 6132 | NC | Primary |
Addresses
Primary practice location
3001 Raleigh Road Pkwy W # B
Wilson, NC 27896-8213
Mailing address
3001 Raleigh Road Pkwy W # B
Wilson, NC 27896-8213
Phone (252) 293-4469
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6132 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1962595918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 RALEIGH ROAD PKWY W # B",
"city": "WILSON",
"state": "NC",
"postal_code": "278968213",
"telephone_number": "252-293-4469",
"fax_number": "252-293-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 RALEIGH ROAD PKWY W # B",
"city": "WILSON",
"state": "NC",
"postal_code": "278968213",
"telephone_number": "252-293-4469",
"fax_number": "252-293-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JOHN",
"middle_name": "GREGGORY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6132",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "6132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Lindsay Erin Coburn Salter, P.A.
- Wiley T. Cockrell Jr., MD
- Samuel David Cohen, MD
- Tammy Sherell Coleman
- Cameron Kirkland Collins, PH.D.
- Community Home Care & Hospice, LLC
- Comprehensive Rehab of Wilson, Inc.
- Confident Home Healthcare Services Inc
- Continuum II Home Health & Hospice, Inc.
- Coordinated Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.