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Collin Mcclellan

Dentist β€’ Goodyear, AZ

Active NPI 1487581112 Individual Practitioner Male Practitioner
Practice location in NPPES

15260 W Mcdowell Rd
Goodyear, AZ 853952530

Call 6232077838 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15260 W Mcdowell Rd

Goodyear, AZ 853952530

Telephone 6232077838
Organization at the Same NPPES Address or Phone
Goodyear Modern Dentistry, Llp Facility NPI 1912497504

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Goodyear and Arizona

30 active clinicians are listed under Dentist with a practice address in Goodyear, AZ (1,929 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Goodyear

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES AZ D012836

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Dentist (license number reported to NPPES: AZ D012836)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2026

Dentist (license number reported to NPPES: AZ D012836)

βœ…
NPI Profile Active May 06, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 06, 2026

Registered at 15260 W MCDOWELL RD, GOODYEAR, AZ 853952530 (Tel: 6232077838)

πŸ“
Business Mailing Address (Initial Record) May 06, 2026

Registered at 17722 N 79TH AVE APT 2125, GLENDALE, AZ 853088680

πŸ‘€
Provider Name / Credentials (Initial Record) May 06, 2026

Recorded as COLLIN MCCLELLAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 06, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487581112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2026
Last Update: June 16, 2026
Sole Proprietor: Yes

Other Dentists in Goodyear

All Dentists in Goodyear

Mailing Address

17722 N 79th Ave Apt 2125

Glendale, AZ 853088680

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.