Active NPI
Michael Scott Calvert, D.D.S INC
- General Practice Dentistry
- Cupertino, CA
National Provider Identifier
1013551522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25867
- Practice address
- 10251 Torre Ave Ste 250
Cupertino, CA 95014-2184 - Phone
- (408) 257-6110
- Fax
- (408) 257-8469
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25867 | CA | Primary |
Addresses
Primary practice location
10251 Torre Ave Ste 250
Cupertino, CA 95014-2184
Mailing address
10251 Torre Ave Ste 250
Cupertino, CA 95014-2184
Phone (408) 257-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25867 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Scott Calvert DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Cupertino, CA
- NPI 1114053477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1013551522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10251 TORRE AVE STE 250",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142184",
"telephone_number": "408-257-6110",
"fax_number": "408-257-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10251 TORRE AVE STE 250",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142184",
"telephone_number": "408-257-6110",
"fax_number": "408-257-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "D.D.S INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.