DR. TAYLOR COLLAZO (NPI# 1164800868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164800868 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR COLLAZO |
| Practice Address |
100 E 15th St Ste 520 Fort Worth TX 76102-6566 |
| Practice Telephone | 8175298151 |
| Practice Fax Number | 8173941911 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4020 | AR | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30725 | TX | Dental Providers |
| Street Address |
100 E 15TH ST STE 520 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-6566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285068726 | Jee Eun Naomi Chew | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2013-08-31 |
| 1689289647 | Tarek Alanbari | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2020-09-15 |
| 1154931525 | Anthony M Mendez | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2020-07-31 |
| 1902414881 | Ramsey Omar El Benni | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2020-07-16 |
| 1336594183 | Rodeo Edinburg & Orthodontics, Pllc | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2016-04-29 |
| 1316326903 | Howard Daryl Melvin II | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2015-05-28 |
| 1669851259 | Malisa Yu | Dentist | 100 E 15th St Ste 520, Fort Worth, TX 76102-6566 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1447898093 | Evan Perkins | Dentist | 4763 Barwick Dr Ste 107, Fort Worth, TX 76132-1531 | 2019-12-13 |
| 1578060943 | Irish Abigail Martinez Tongco | Dentist | 3201 Western Center Blvd Ste 115, Fort Worth, TX 76137-7135 | 2018-04-11 |
| 1306227731 | Lustig and Young Orthodontics | Dentist | 8450 Park Vista Blvd, Fort Worth, TX 76137-5731 | 2015-06-11 |
| 1588087027 | Nicole Mahoney | Dentist | 9040 Hawley Dr, Fort Worth, TX 76244-6120 | 2014-02-03 |
| 1841545597 | Braces R Us PC | Dentist | 8337 Summer Park Dr, Fort Worth, TX 76123-1991 | 2012-07-18 |
| 1063798718 | Timber Creek Orthodontics, P.a. | Dentist | 12650 N Beach St, Suite 100, Fort Worth, TX 76244-4243 | 2011-10-26 |
| 1134449663 | Access Orthodontics of Berry, P.a. | Dentist | 4201 E Berry St, Suite #15, Fort Worth, TX 76105-5053 | 2010-06-07 |
| 1528211406 | Jacksboro Smiles By Wire, Pllc | Dentist | 2480 Jacksboro Hwy, Fort Worth, TX 76114-2201 | 2008-10-23 |
| 1366605719 | William G Paulus Dds Ms Inc | Dentist | 4901 Byers Ave, Fort Worth, TX 76107 | 2008-07-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
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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.