Active NPI
Jean Kathleen Bernardo Cala, D.D.S.
- Dentist
- Lubbock, TX
National Provider Identifier
1013641943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38799
- Practice address
- 4903 82ND St.
Suite 20
Lubbock, TX 79424 - Phone
- (806) 798-2996
- Fax
- (806) 798-2998
- NPI assigned
- Jul 15, 2022
- Last updated
- Sep 28, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38799 | TX | Primary |
Addresses
Primary practice location
4903 82ND St.
Suite 20
Lubbock, TX 79424
Mailing address
4903 82ND St.
Suite 20
Lubbock, TX 79424
Phone (806) 798-2996
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 |
|---|---|---|---|
| 38799 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Igneous Dental PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1013641943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 82ND ST.",
"address_2": "SUITE 20",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-798-2996",
"fax_number": "806-798-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 82ND ST.",
"address_2": "SUITE 20",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-798-2996",
"fax_number": "806-798-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALA",
"first_name": "JEAN KATHLEEN",
"middle_name": "BERNARDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2023-09-28",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.