Active NPI
Dennis McCalister
- Health Maintenance Organization
- Orlando, FL
National Provider Identifier
1063896025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 750 S Orange Blossom TRL Ste 229
Orlando, FL 32805-3195 - Phone
- (407) 745-5022
- NPI assigned
- Jul 19, 2015
- Last updated
- Jul 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NU | Primary |
Addresses
Primary practice location
750 S Orange Blossom TRL Ste 229
Orlando, FL 32805-3195
Mailing address
750 S Orange Blossom TRL Ste 229
Orlando, FL 32805-3195
Phone (407) 745-5022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25B00000X | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Community Support Services, Inc | Past | Accepting new patients | |
| Bridges Community Support Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1043612344
-
- Case Management Agency
- Orlando, FL
- NPI 1043621295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437264000000",
"number": "1063896025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 S ORANGE BLOSSOM TRL STE 229",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053195",
"telephone_number": "407-745-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S ORANGE BLOSSOM TRL STE 229",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053195",
"telephone_number": "407-745-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALISTER",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-19",
"last_updated": "2015-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25B00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.