Brenda K. Caillouel, BS, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

46565 Issued in CA

Practice address

3936 La Jolla Village Dr
La Jolla, CA 92037-1418

Phone

(858) 202-0393

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1275629958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 AZURE COAST DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373508",
            "telephone_number": "858-222-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 LA JOLLA VILLAGE DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371418",
            "telephone_number": "858-202-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAILLOUEL",
        "first_name": "BRENDA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "BS, DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46565",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-16530",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cadenhead, MD
• Izabel Caetano Francy, LCSW
• Lucy Cai
• Mei Cai, MD
• Yi Cai, MD
• Julia Meghan Cain, NP
• Annamaria Calabro, M.D.
• Mary Ann Calcott, DDS
• Joshua Alan Caldwell, D.C.
• Kelsey Caldwell, PA-C

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.