Luis Miguel Collazos Escalante, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60923 Issued in CA

Practice address

116 H St Ste C
Bakersfield, CA 93304-2910

Phone

(661) 327-2155

NPI assigned

Sep 30, 2011

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis Miguel Collazos Escalante DDS Inc

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1114338514
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1407130040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 TUPPER ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 H ST STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042910",
            "telephone_number": "661-327-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZOS ESCALANTE",
        "first_name": "LUIS MIGUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Andrew Coleman, MD
• Lavita Coleman
• Pamela Lynne Coleman, LMFT
• Yarelli Colima
• Miranda Nicole Collard, RN, BSN, PHN
• College Community Services (Clarvida)
• College Community Services (Clarvida)
• College Community Services (Clarvida)
• College Community Services
• Laura Collignon, O.T.

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.