Dominic G Calek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020731 Issued in MI

Practice address

3375 S Airport Rd W
Traverse City, MI 49684-7929

Phone

(231) 486-0555

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tawfiq Alkilani DDS PLLC

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1750747655
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1124381744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23117 WILSON AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481282809",
            "telephone_number": "313-712-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 S AIRPORT RD W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847929",
            "telephone_number": "231-486-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEK",
        "first_name": "DOMINIC",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Caillouet, MS, RDN
• Barbara Carole Cain
• Caitlin Erdman Counseling LLC
• Katharine Ella Calder, PA-C
• Lil Beatriz Calderon-Huezo
• Melissa A Calio, PA-C
• Bridget Maureen Callaghan, MSW
• Paul Callaghan, PSYD
• Ross Callender
• Calm Collective LLC

• Dentist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.