AUSTIN CHARLES COLLAZO DDS
NPI 1497280358
Dentist in Hawthorne, CA

Q: What is Austin Collazo's NPI number?

The NPI number for Austin Collazo is 1497280358. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Q: What is Austin Collazo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Austin Collazo was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2017

14248 HAWTHORNE BLVD, HAWTHORNE, CA 90250(501) 247-4888 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Jun 12, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Austin Charles Collazo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN CHARLES COLLAZO DDS (NPI 1497280358) is an individual dentist in Hawthorne, California, licensed in California (108679) and active in the NPI registry since April 2017. He maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1497280358

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameAUSTIN CHARLES COLLAZOCredential: DDS

Location Address14248 HAWTHORNE BLVDHawthorne, CA 90250-7008

Mailing Address617 N Doheny DrBeverly Hills, CA 90210-3526

Phone(501) 247-4888

Sole ProprietorNo

Enumeration DateApril 27, 2017

Last NPPES UpdateMay 4, 20235 updates tracked since enumeration

NPPES CertifiedMay 4, 2023

✔ NPI 1497280358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 108679✔ Licensed in CO · DEN.00203202

Definition

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.

14248 HAWTHORNE BLVD, Hawthorne, CA 90250

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Secondary Practice Location 1

Location 11407 W 84th Ave Unit B8Denver, CO 80260-4753 · Phone (720) 214-4746 · Fax (720) 214-4745

Other Identifiers 1

Medicaid1497280358CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEEL SHAH D.M.D.

Dentist (General Practice)