Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497280358 Individual Practitioner Male Practitioner

Dr. Austin Charles Collazo , DDS

Dentist • Hawthorne, CA

Professional Overview & Biography Verified Profile Summary

Dr. Austin Collazo, DDS is a registered healthcare professional specializing in Dentist in Hawthorne, CA. Practice services are available at 14248 HAWTHORNE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14248 Hawthorne Blvd

Hawthorne, CA 902507008

Telephone 5012474888
Associated Practice Facility / Clinic
🏢 Western Dental Services, Inc. Facility NPI 1326194721

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hawthorne, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
35 Specialists

Practicing in Hawthorne, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 108679

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO DEN.00203202

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1497280358 (CO)

Secondary Practice Locations

1407 W 84th Ave Unit B8

Denver, CO 802604753

Phone: 7202144746

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Neel Shah , DMD

Dentist - General Practice

NPI 1184083271

Doctor of Dental Medicine

Dr. Pedrum Barr , DDS, MDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1528413705

Doctor of Dental Surgery, MDS

Bo Feng

Dentist

NPI 1871629097

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location May 04, 2023

Registered at 14248 HAWTHORNE BLVD, HAWTHORNE, CA 902507008 (Tel: 5012474888)

📍
Updated Business Mailing Address May 04, 2023

Registered at 617 N DOHENY DR, BEVERLY HILLS, CA 902103526

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Dentist (License #108679 in CA)

📍
Updated Business Mailing Address June 12, 2019

Registered at 2221 E BIJOU ST STE 1002221E, COLORADO SPRINGS, CO 809098008 (Tel: 7195761850)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Dentist (License #DEN.00203202 in CO)

NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2017

Registered at 1407 W 84TH AVE UNIT B8, DENVER, CO 802604753 (Tel: 7202144746)

📍
Updated Business Mailing Address November 29, 2017

Registered at 15 N NEVADA AVE, COLORADO SPRINGS, CO 809031708 (Tel: 7193232362)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as AUSTIN COLLAZO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Dentist (License #00000000 in CO)

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 6695 W COLFAX AVE, LAKEWOOD, CO 802141805 (Tel: 7202792266)

📍
Updated Business Mailing Address April 27, 2017

Registered at 15 N NEVADA AVE, COLORADO SPRINGS, CO 809031708 (Tel: 7193232356)

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as AUSTIN COLLAZO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Dentist (License #00000000 in CO)

🟢
Initial NPI Registration & Enumeration April 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497280358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2017
Last Update: May 04, 2023
Sole Proprietor: No

Mailing Address

617 N Doheny Dr

Beverly Hills, CA 902103526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.