Luis Eduardo Calixto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41364 Issued in CA

Practice address

6368 El Cajon Blvd
San Diego, CA 92115-2643

Phone

(619) 287-8437

Fax

(619) 287-8028

NPI assigned

Feb 13, 2006

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis E. Calixto D.D.S. Inc.

  dba Beautiful Smile Dentistry

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1538351861
  NPD (past) Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1255305702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152643",
            "telephone_number": "619-287-8437",
            "fax_number": "619-287-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6368 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152643",
            "telephone_number": "619-287-8437",
            "fax_number": "619-287-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTO",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B41363-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS.",
            "identifier": "808544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonah Keoni Calio
• Rebecca Caliri, L.Ac., LICENSED ACUPUNCTUE
• Christine Elizabeth Calix, PHD, LP
• Jessica Lanise Calix
• Ray Spencer Calixterio, LMFT
• David Call, PH.D.
• Amy Callaghan
• Katherine Callaghan, OTR/L
• Kathryn Callaghan, LMFT
• Taylor Rae Callaghan

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.