Organization Active NPI

Monica Calderon, DMD PS

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1154874196
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008049 Issued in WA
Legal business name
MONICA CALDERON, DMD PS
Practice address
2501 NE 134TH St Ste 202
Vancouver, WA 98686-3028
Phone
(360) 546-2695
Fax
(360) 546-1363
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Monica Calderon, DMDNPI 1104995810
Title
President
Phone
(360) 546-2695

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 DE00008049 WA Primary

Addresses

Primary practice location

2501 NE 134TH St Ste 202
Vancouver, WA 98686-3028

Mailing address

615 NW 110TH Way
Vancouver, WA 98685-4119
Phone (360) 546-2695

Other names 1

  • Calderon Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2501 NE 134th St
Ste 202
Vancouver, WA 98686
Phone (360) 546-2695

Practitioners & affiliated clinicians

Practitioners 2

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1154874196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NW 110TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854119",
            "telephone_number": "360-546-2695",
            "fax_number": "360-546-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863028",
            "telephone_number": "360-546-2695",
            "fax_number": "360-546-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA CALDERON, DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-546-2695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calderon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.