Individual provider Active NPI

Ana Calles Zand, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Novato, CA
National Provider Identifier
1073351292
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
104396 Issued in CA
Practice address
1713 Novato Blvd
Novato, CA 94947-3014
Phone
(415) 897-3141
NPI assigned
Jul 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 104396 CA Primary

Addresses

Primary practice location

1713 Novato Blvd
Novato, CA 94947-3014

Mailing address

8 Chapel Cove CT
San Rafael, CA 94901-1562
Phone (336) 692-1042

Other names 1

  • Dr. Ana Fernanda Calles Former name

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

LicenseStateTypeSpecialty
104396CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bales and King Orthodontic Partnership CurrentSince Feb 9, 2025 Accepting new patients
Thomas R. Bales DDS Inc Orthodontics and Dentofacial Orthopedics PastSince Jul 21, 2024 Accepting new patients

Locations

1713 Novato Blvd
Novato, CA 94947
Phone (415) 897-3141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1073351292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHAPEL COVE CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011562",
            "telephone_number": "336-692-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 NOVATO BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473014",
            "telephone_number": "415-897-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAND",
        "first_name": "ANA",
        "middle_name": "CALLES",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "CALLES",
            "middle_name": "FERNANDA",
            "prefix": "DR.",
            "credential": "DMD, MSD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.