DR. WALTER COLLAZO D.D.S.
NPI 1780774299
Dentist - General Practice in Leesburg, VA

Active since October 13, 2006PECOS Enrolled
1614 VILLAGE MARKET BLVD SE STE 100, LEESBURG, VA 20175(703) 777-8777(703) 777-6901 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Walter Collazo D.d.s. NPPES

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

DR. WALTER COLLAZO D.D.S. (NPI 1780774299) is an individual general practice provider in Leesburg, Virginia, licensed in Virginia (0401008551) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780774299
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WALTER COLLAZOCredential: D.D.S.
Location Address1614 VILLAGE MARKET BLVD SE STE 100Leesburg, VA 20175-5113
Mailing Address1614 Village Market Blvd Se Ste 100Leesburg, VA 20175-5113 · (703) 777-8777 · Fax (703) 777-6901
Fax(703) 777-6901
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
NPI 1780774299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401008551
Definition

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.

1614 VILLAGE MARKET BLVD SE STE 100, Leesburg, VA 20175

Other Identifiers 1

Other452873VA · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Walter Collazo D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20175 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1614 VILLAGE MARKET BLVD SE STE 100
LEESBURG, VA 20175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Collazo's NPI number?

The NPI number for Walter Collazo is 1780774299. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Walter Collazo located?

Walter Collazo practices at 1614 Village Market Blvd SE Ste 100, Leesburg, VA 20175. The listed phone number is (703) 777-8777.

What is Walter Collazo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Walter Collazo enrolled in Medicare?

Yes. Walter Collazo is registered in the Medicare PECOS enrollment system.

What insurance does Walter Collazo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Walter Collazo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Collazo was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.