Mel Collazo, DDS, Ms, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2749 Issued in AR

Legal business name

MEL COLLAZO, DDS, MS, PA

Practice address

11811 Hinson Rd Ste 100
Little Rock, AR 72212-3472

Phone

(501) 221-0004

Fax

(501) 219-0300

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Sheri Collazo

Title

Business Manager

Phone

(501) 221-0004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1710119136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 HINSON RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123472",
            "telephone_number": "501-221-0004",
            "fax_number": "501-219-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 HINSON RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123472",
            "telephone_number": "501-221-0004",
            "fax_number": "501-219-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL COLLAZO, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "501-221-0004"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Mehta, MD
• Brian Philip Meier, CRNA
• Stephanie Farque Meincke, LCSW
• Caylin L Meister, PA
• Zelalem Temesgen Mekuria, MD
• Melanie Prince, MD, PA
• Jennifer Lynn Melero
• Susan R. Melhorn, RD, LD
• Roy D Mellor, MD
• Oksana Y. Melnyk, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.