COLLINS FAMILY DENTISTRY — NPI 1306868401 (Licensed & Credentialed Dental Hygienist in LANETT, AL)

CMS-1500 Box 24J / 33a • NPI

1306868401

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

124Q00000X

Licensed & Credentialed Dental Hygienist

Box 32 Service Location & ZIP+4

2105 BROAD AVE, STE E, LANETT, AL, 36863-3117

✓ 9-Digit EDI 837 ZIP+4 (36863-3117)

Practice Phone & Referral Fax

(334) 642-2200

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306868401 (COLLINS FAMILY DENTISTRY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306868401` (NPI-2 Organization / Facility)
Provider / Legal Name	COLLINS FAMILY DENTISTRY
Plain-English Specialty	Licensed & Credentialed Dental Hygienist NUCC Code: `124Q00000X` (Dental Hygienist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2105 BROAD AVE, STE E, LANETT, AL, 36863-3117
Practice Telephone / Fax	Tel: (334) 642-2200
Administrative Mailing Address	2105 BROAD AVE, LANETT, AL, 36863
Enumeration & Last Sync	Enumerated: 2006-07-25 \| CMS Record Updated: 2025-09-11
Authorized Official	PAIGE COLLINS (Dentist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2105 BROAD AVE, STE E, LANETT, AL, 36863-3117

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Plain-English Taxonomy & CMS Crosswalk (124Q00000X)

What Does Taxonomy Code 124Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 124Q00000X translates to:
"Licensed & Credentialed Dental Hygienist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dental Hygienist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COLLINS FAMILY DENTISTRY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: AL \| License: `4359` \| Primary: Secondary
`124Q00000X` — Dental Hygienist Plain English: Licensed & Credentialed Dental Hygienist	State: AL \| License: `5480` \| Primary: Secondary
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: AL \| License: `4617` \| Primary: Secondary
`124Q00000X` — Dental Hygienist Plain English: Licensed & Credentialed Dental Hygienist	State: AL \| License: `5836` \| Primary: Yes (Primary)

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COLLINS FAMILY DENTISTRY (NPI #1306868401)