NPIMap

Organization Active NPI

Collins Family Dentistry

  • Dental Clinic/Center
  • Caldwell, ID
National Provider Identifier
1962750349
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D-4440 Issued in ID
Legal business name
COLLINS FAMILY DENTISTRY
Practice address
301 E Ash St
Caldwell, ID 83605-5282
Phone
(208) 454-1222
Fax
(208) 459-6947
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Kyle B Collins, DMDNPI 1730436189
Title
President
Phone
(208) 880-2483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D-4440 ID Primary

Addresses

Primary practice location

301 E Ash St
Caldwell, ID 83605-5282

Mailing address

301 E Ash St
Caldwell, ID 83605-5282
Phone (208) 454-1222

National Provider Directory

National Provider Directory

Locations

301 E Ash St
Caldwell, ID 83605
Phone (208) 454-1222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1962750349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ASH ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055282",
            "telephone_number": "208-454-1222",
            "fax_number": "208-459-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ASH ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055282",
            "telephone_number": "208-454-1222",
            "fax_number": "208-459-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-880-2483",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D-4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.