Individual provider Active NPI

Xerxez Megino Calilung, DDS

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1275649600
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38167 Issued in CA
Practice address
4330 Barranca Pkwy Ste 200
Irvine, CA 92604-4781
Phone
(949) 551-5600
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38167 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy Ste 200
Irvine, CA 92604-4781

Mailing address

4330 Barranca Pkwy Ste 200
Irvine, CA 92604-4781
Phone (949) 551-5600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220105001904 CA Practitioner - Oral SurgeryPractitioner - Dentist 1951792993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4330 Barranca Pkwy
Suite 200
Irvine, CA 92604-4781
Phone (949) 551-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38167CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xerxez M Calilung DDS Inc CurrentSince Sep 21, 2021 Accepting new patients

Locations

4330 Barranca Pkwy
Ste 200
Irvine, CA 92604
Phone (714) 318-3927

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1275649600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044781",
            "telephone_number": "949-551-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044781",
            "telephone_number": "949-551-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALILUNG",
        "first_name": "XERXEZ",
        "middle_name": "MEGINO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.