Calicdan-Sta.Ana DDS Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CALICDAN-STA.ANA DDS CORP

Doing business as

Mount Hill Dental

Practice address

1227 W Foothill Blvd
Upland, CA 91786-3681

Phone

(909) 981-5083

Fax

(909) 981-4213

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Calicdan, DDSNPI 1205042322

Title

Cfo

Phone

(909) 981-5083

Specialties & licenses 1

Addresses

Other names 1

• Mount Hill Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol S Calicdan, DDS

  • Dentist
  • Upland, CA
  • NPI 1205042322
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033325147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-981-5083",
            "fax_number": "909-981-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863681",
            "telephone_number": "909-981-5083",
            "fax_number": "909-981-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICDAN-STA.ANA DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALICDAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-981-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Cabrera, DO
• Cajon Medical Group, PC
• Anna Lilia Calcanas, LMFT
• Calcare Hospice LLC
• Moira Cale, FNP
• Carol S Calicdan, DDS
• California Cataract and Retina Institute
• California Clinical, Assessment, Restoration and Evaluation, a Professional Psychological Corp
• California Clinics, Inc
• California Desert Hospice & Palliative Care, Inc.

• General Practice Dentistry in Upland, CA
• Providers in Upland, 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 Aug 22, 2020; 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.