Active NPI
Luis E Calderon
- General Practice Dentistry
- The Woodlands, TX
National Provider Identifier
1316016462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13242
- Practice address
- 9004 Forest Crossing Dr Suite F
The Woodlands, TX 77381 - Phone
- (281) 363-0642
- Fax
- (281) 364-7947
- NPI assigned
- Nov 6, 2006
- Last updated
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13242 | TX | Primary |
Addresses
Primary practice location
9004 Forest Crossing Dr Suite F
The Woodlands, TX 77381
Mailing address
9004 Forest Crossing Dr Suite F
The Woodlands, TX 77381
Phone (281) 363-0642
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 849287 | Other | TX | UNITED CONCORDIA INC |
| D13242 | Other | TX | BC BS INS |
| 6524 | Other | TX | DELTA DENTAL INC |
| B1324201 | Other | TX | CHIPS GOVERNMENT CHILDREN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160106000293 | TX | Order and Referring Only - Dentist | 9032411285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13242 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1316016462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9004 FOREST CROSSING DR SUITE F",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77381",
"telephone_number": "281-363-0642",
"fax_number": "281-364-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9004 FOREST CROSSING DR SUITE F",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77381",
"telephone_number": "281-363-0642",
"fax_number": "281-364-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "LUIS",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA INC",
"identifier": "849287",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS INS",
"identifier": "D13242",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL INC",
"identifier": "6524",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS GOVERNMENT CHILDREN",
"identifier": "B1324201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.