Individual provider Active NPI

Evelyn Joyce Calayag, D.D.S.

  • General Practice Dentistry
  • Woodland, CA
National Provider Identifier
1477658953
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54831 Issued in CA
Practice address
520 Cottonwood St
Suite 11
Woodland, CA 95695-3603
Phone
(530) 661-9276
Fax
(530) 662-0965
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 54831 CA Primary

Addresses

Primary practice location

520 Cottonwood St
Suite 11
Woodland, CA 95695-3603

Mailing address

3057 Alamo Dr
Vacaville, CA 95687-6300
Phone (707) 448-8881

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
I20160504000824 CA Order and Referring Only - DentistPractitioner - Dentist 4284933706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Librada Calayag, DMD, Inc Past Accepting new patients
Librada Calayag, DMD, Inc Past Accepting new patients

Organizations & group practices 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1477658953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 ALAMO DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876300",
            "telephone_number": "707-448-8881",
            "fax_number": "707-448-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST",
            "address_2": "SUITE 11",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-661-9276",
            "fax_number": "530-662-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAYAG",
        "first_name": "EVELYN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.