Active NPI
Monica Calderon, DMD PS
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1154874196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00008049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Calderon, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1104995810
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1306103106
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.