Individual provider Active NPI

Karine Calixte, DDS

  • General Practice Dentistry
  • Lehigh Acres, FL
National Provider Identifier
1427320407
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20105 Issued in FL
Practice address
2718 Lee Blvd Ste a
Lehigh Acres, FL 33971-1537
Phone
(203) 688-8766
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059552 NY
General Practice Dentistry 1223G0001X DL11328 MA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DN20105 FL Primary

Addresses

Primary practice location

2718 Lee Blvd Ste a
Lehigh Acres, FL 33971-1537

Mailing address

2718 Lee Blvd Ste a
Lehigh Acres, FL 33971-1537
Phone (239) 368-9036

Other practice location 1

South Congress Ave
Palm Springs, FL 33406
Phone (561) 432-5849

Other identifiers 1

IdentifierTypeStateIssuer
DL11328OtherMABOARD OF REGISTRATION IN DENTISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240419001616 ME Practitioner - Dentist 9436457033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL11328MAMDGeneral Practice Dentistry
059552NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center Current Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

Interoperability endpoints

  • Direct secure messaging: kcalixte439319@direct.ynhh.org

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1427320407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 LEE BLVD STE A",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711537",
            "telephone_number": "239-368-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 LEE BLVD STE A",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711537",
            "telephone_number": "203-688-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "South Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "33406",
            "country_code": "US",
            "telephone_number": "561-432-5849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "KARINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059552",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL11328",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION IN DENTISTRY",
            "identifier": "DL11328",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.