DR. GRANT CONRAD COLLINS (NPI# 1811208424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811208424 |
| Entity Type | Individual |
| Full Name | DR. GRANT CONRAD COLLINS |
| Credential | D.D.S., M.S. |
| Practice Address |
1340 Salem Rd Sw Rochester MN 55902 |
| Practice Telephone | 5072585400 |
| Mailing Telephone | 5072585400 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D12822 | MN | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | D12822 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245717735 | Grant Collins | Acupuncturist | 31877 Del Obispo St Ste 107, San Juan Capistrano, CA 92675-3209 | 2018-07-26 |
| 1457679730 | Grant Michael Collins | Physical Therapist | 2166 North Westwood Blvd, Poplar Bluff, MO 63901-2440 | 2010-05-11 |
| Street Address |
1340 SALEM RD SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491545 | Collins Orthodontics, Pa | Dentist | 1340 Salem Rd Sw, Rochester, MN 55902-4310 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407193113 | Michael Anthony Molisani | Dentist | 1972 Clinton Ave S, Rochester, NY 14618-5620 | 2013-01-15 |
| 1063763100 | Zohair Mazhar Qureshi | Dentist | 770 Fetzner Rd, Rochester, NY 14626-1848 | 2012-09-28 |
| 1447467535 | John F Lawson IIi | Dentist | 2460 N Broadway, Rochester, MN 55906 | 2007-05-17 |
| 1578687810 | Charles Edward Praska | Dentist | 15 7th Ave Nw, Rochester, MN 55901-6298 | 2007-03-19 |
| 1952433427 | Suzanne Cassata D.d.s. | Dentist | 1 Ridge Rd W, Rochester, NY 14615-3030 | 2007-03-11 |
| 1063572667 | Larry K Aagesen | Dentist | 1000 W University Suite 200, Rochester, MI 48307-1875 | 2006-12-12 |
| 1518026947 | Elizabeth M Kellogg | Dentist | 2717 Superior Dr Nw, Rochester, MN 55901-1773 | 2006-12-08 |
| 1346336773 | Deborah L Fox | Dentist | 505 Long Pond Rd, Rochester, NY 14612-3005 | 2006-10-05 |
| 1497853329 | Steven Kazley | Dentist | 1688 Monroe Ave, Rochester, NY 14618-1417 | 2006-09-21 |
| 1942204714 | Bradley D Kaufman | Dentist | 925 E Henrietta Rd, Rochester, NY 14623-1409 | 2005-06-09 |
| Find all providers in ROCHESTER | ||||
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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.