DR. COLLIN LEE EDMINSTEN (NPI# 1922612209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922612209 |
| Entity Type | Individual |
| Full Name | DR. COLLIN LEE EDMINSTEN |
| Credential | DDS |
| Practice Address |
612 N Canyon St Carlsbad NM 88220-5842 |
| Mailing Address |
706 N 3rd St Carlsbad NM 88220-3814 |
| Practice Telephone | 1575887759 |
| Mailing Telephone | 5055045323 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD5325 | NM | Dental Providers |
| Street Address |
612 N CANYON ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347326 | Sandya Vanathi Athigaman | Dentist | 612 N Canyon St, Carlsbad, NM 88220-5842 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1194274381 | Alexander John Erwin | Dentist | 300 Carlsbad Village Dr Ste 203, Carlsbad, CA 92008-2990 | 2016-09-28 |
| 1396113668 | Anita Omidi, D.d.s. PC | Dentist | 1273 Las Flores Drive, Carlsbad, CA 92008-1030 | 2015-09-03 |
| 1003211327 | Carlsbad Dental Arts | Dentist | 2521 Palomar Airport Rd, Suite 102, Carlsbad, CA 92011-1511 | 2014-10-29 |
| 1366847782 | John C Nosti Dental Corporation | Dentist | 7625 Via Campanile, Suite 130, Carlsbad, CA 92009-8489 | 2014-10-28 |
| 1982954855 | All Smiles Family Dental Clinics, LLC | Dentist | 701 N Canal St Ste A, Carlsbad, NM 88220-5876 | 2012-09-18 |
| 1962786301 | Stephen Richard Dankworth | Dentist | 7730 Rancho Santa Fe Rd, Suite 106, Carlsbad, CA 92009-8688 | 2011-10-04 |
| 1225316607 | A Lapsi Dds Inc. | Dentist | 7740 El Camino Real, Suite #c, Carlsbad, CA 92009-8513 | 2011-08-02 |
| 1982903084 | Mojgan Arjmandi | Dentist | 6200 Citracado Cir, Carlsbad, CA 92009-2285 | 2011-03-15 |
| 1023337474 | Bressi Ranch Family Dentistry | Dentist | 6221 Metropolitan St Ste 200, Carlsbad, CA 92009-3096 | 2010-05-25 |
| Find all providers in CARLSBAD | ||||
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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.