Organization Active NPI

M Scott Calvert DDS Inc

  • General Practice Dentistry
  • Cupertino, CA
National Provider Identifier
1114053477
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25867 Issued in CA
Legal business name
M SCOTT CALVERT DDS INC
Practice address
10251 Torre Ave
Ste #250
Cupertino, CA 95014-2184
Phone
(408) 257-6110
Fax
(408) 257-8469
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Mr. Michael Scott Calvert, DDSNPI 1013551522
Title
Dentist Owner
Phone
(408) 257-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

10251 Torre Ave
Ste 250
Cupertino, CA 95014
Phone (408) 257-6110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1114053477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE",
            "address_2": "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",
            "address_2": "STE #250",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142184",
            "telephone_number": "408-257-6110",
            "fax_number": "408-257-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SCOTT CALVERT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "408-257-6110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 6, 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.

Verify at the official NPI Registry.