Individual provider Active NPI

Maria Calcina, D.D.S.

  • Pediatric Dentistry
  • Katy, TX
National Provider Identifier
1295909943
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23621 Issued in TX
Practice address
19214 Clay Rd Ste D
Katy, TX 77449-4082
Phone
(281) 463-4333
Fax
(281) 463-4908
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 23621 TX Primary

Addresses

Primary practice location

19214 Clay Rd Ste D
Katy, TX 77449-4082

Mailing address

19214 Clay Rd Ste D
Katy, TX 77449-4082
Phone (281) 463-4333

Other identifiers 1

IdentifierTypeStateIssuer
1977746MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23621TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Dental, PLLC Pediatric Dentistry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1295909943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19214 CLAY RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494082",
            "telephone_number": "281-463-4333",
            "fax_number": "281-463-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19214 CLAY RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494082",
            "telephone_number": "281-463-4333",
            "fax_number": "281-463-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCINA",
        "first_name": "MARIA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.