DR. JOHN MICHAEL COLLIER (NPI# 1386668101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386668101 |
Entity Type | Individual |
Full Name | DR. JOHN MICHAEL COLLIER |
Credential | D.D.S. |
Practice Address |
1521 Northway Dr Suite 108 Saint Cloud MN 56303-4489 |
Practice Telephone | 3202538380 |
Practice Fax Number | 3202538419 |
Mailing Telephone | 3202538380 |
Mailing Fax Number | 3202538419 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7903 | MN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | DENTAL LICENSE | 7903 | 01 |
MN | BLUE CROSS BLUE SHIELD | 54195CO | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447479332 | John C Collier | Surgery | 6351 Belmont Ave, Dallas, TX 75214-3627 | 2007-04-25 |
1376672618 | John Alex Collier | Dentist | 2162 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-03-04 |
1124190236 | John Howard Collier | Physical Therapist | 7120 E Orchard Rd Ste 110, Centennial, CO 80111-1732 | 2006-11-14 |
1376552158 | John M Collier | Dentist | 1771 Independence Ct Ste 3, Birmingham, AL 35216-1232 | 2006-08-07 |
1912904343 | John W Collier | Family Medicine | 8291 W Beechwood Ave, French Lick, IN 47432-9377 | 2005-06-30 |
1659729903 | John Stephen Collier | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-05-27 |
1346609765 | John Collier | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-02-12 |
1255768222 | John S Collier | Social Worker | 202 W 7th St, Suite 115, London, KY 40741-1763 | 2013-10-04 |
1558385377 | John David Collier | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2006-07-26 |
1316987035 | John T Collier | Anesthesiology | 1035 116th Ave Ne, Bellevue, WA 98004-4604 | 2006-06-08 |
Street Address |
1521 NORTHWAY DR SUITE 108 |
City | SAINT CLOUD |
State | MN |
Zip Code | 56303-4489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710317326 | K.o.a.l.a. Dental Care, LLC | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2013-11-18 |
1548527708 | Aruna Rao | Dentist | 1521 Northway Dr, Saint Cloud, MN 56303-4489 | 2012-04-12 |
1396045373 | Jodene Lynn Nestande | Physical Therapist | 1521 Northway Dr, Suite #116, Saint Cloud, MN 56303-4489 | 2010-10-25 |
1972778561 | Dental Center of America, PC | Clinic/Center | 1521 Northway Dr, Suite 102, Saint Cloud, MN 56303-4489 | 2008-04-24 |
1730360355 | K.o.a.l.a. Dental Care, LLC | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2007-11-26 |
1427146737 | Kinesis Physical Therapy, Inc | Physical Therapist | 1521 Northway Dr, Suite #116, Saint Cloud, MN 56303-4489 | 2006-10-11 |
1841388105 | Thomas M Peterson | Physical Therapist | 1521 Northway Dr, Suite #116, Saint Cloud, MN 56303-4489 | 2006-10-11 |
1184712234 | Sheila M Christen | Physical Therapist | 1521 Northway Dr, Suite #116, Saint Cloud, MN 56303-4489 | 2006-10-11 |
1275624041 | Scott Charles Schuler | Chiropractor | 1521 Northway Dr, Suite 110, Saint Cloud, MN 56303-4489 | 2006-09-27 |
1801987680 | Jennifer Louise Corrigan | Chiropractor | 1521 Northway Dr, Suite 110, Saint Cloud, MN 56303-4489 | 2006-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
Find all providers in zip 56303 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710317326 | K.o.a.l.a. Dental Care, LLC | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2013-11-18 |
1548527708 | Aruna Rao | Dentist | 1521 Northway Dr, Saint Cloud, MN 56303-4489 | 2012-04-12 |
1730360355 | K.o.a.l.a. Dental Care, LLC | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2007-11-26 |
1558385377 | John David Collier | Dentist | 1521 Northway Dr, Suite 108, Saint Cloud, MN 56303-4489 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477025906 | Riverdale Kidds Pediatric Dentistry, Pllc | Dentist | 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 | 2018-12-21 |
1467924290 | Camp Smile Pediatric Dentistry Excelsior Pllc | Dentist | 675 Water St Ste 2, Excelsior, MN 55331-3072 | 2018-12-18 |
1932671765 | Camp Smile Pediatric Dentistry Chaska | Dentist | 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 | 2018-12-18 |
1538678057 | Blaine Kidds Pediatric Dentistry Pllc | Dentist | 1351 113th Ave Ne, Blaine, MN 55434-3874 | 2017-09-27 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1710367925 | Lindsay Bedeaux | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2015-06-02 |
1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
1396186813 | Central Minnesota Pediatric Dentists Pa | Dentist | 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 | 2013-07-12 |
1265873707 | Central Minnesota Pediatric Dentists Pa | Dentist | 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 | 2013-07-12 |
1013264621 | Northland Dental Partners | Dentist | 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 | 2012-08-14 |
Find all providers with the same taxonomy |
City | SAINT CLOUD |
Zip Code | 56303 |
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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.