DR. COURTNEY A COLLINGS (NPI# 1538275441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538275441 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY A COLLINGS |
| Credential | DDS |
| Practice Address |
2030 Lake Ave Pueblo CO 81004 |
| Mailing Address |
110 E Routt Ave Pueblo CO 81004-2117 |
| Practice Telephone | 7195438711 |
| Practice Fax Number | 7175435340 |
| Mailing Telephone | 7195438711 |
| Mailing Fax Number | 7195435340 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 86666 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 27621332 | 05 |
| Street Address |
2030 LAKE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285662817 | James Milton Mobley | Dentist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2006-06-30 |
| 1265818348 | Penny Daugherty | Dental Hygienist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2015-07-30 |
| 1346658457 | Michelle Carlo | Dental Hygienist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2014-08-01 |
| 1801202098 | Jillian Kristina Sakariason | Dentist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2014-07-08 |
| 1194806091 | E James Belfiglio | Dentist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2006-10-18 |
| 1487758868 | Shyla K Prijatel | Dental Hygienist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2006-09-07 |
| 1275543381 | Karen M Miller | Dentist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2006-08-09 |
| 1174533285 | Josefina B Fitzgerald | Dentist | 2030 Lake Ave, Pueblo, CO 81004-3536 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1326673880 | Charles Wohlwend Ddspc | Dentist | 1044 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2020-03-05 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1891222402 | Pueblo Dental & Braces | Dentist | 1345 S Pueblo Blvd, Pueblo, CO 81005-1508 | 2017-05-12 |
| 1346798923 | Dr Tina L Skinner Dds Ms PC | Dentist | 2047 Columbia Dr, Pueblo, CO 81005-3279 | 2016-09-13 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1346608197 | Michael E Allen | Dentist | 1800 Fortino Blvd Unit 2, Pueblo, CO 81008-1891 | 2016-02-08 |
| 1851777304 | James Kellan Villalon | Dentist | 1225 N Main St Ste 207, Pueblo, CO 81003-2857 | 2015-08-07 |
| 1689080848 | Gregory Ragulsky | Dentist | 3939 Sandalwood Ln, Pueblo, CO 81005-2586 | 2014-07-09 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.