Active NPI
Yoel Calzada-Sanchez
- Dentist
- Philadelphia, PA
National Provider Identifier
1497275507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041309
- Practice address
- 10501 Academy Rd Ste C
Philadelphia, PA 19114-1137 - Phone
- (215) 637-7474
- Fax
- (215) 637-4408
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS041309 | PA | Primary |
Addresses
Primary practice location
10501 Academy Rd Ste C
Philadelphia, PA 19114-1137
Mailing address
5504 Walnut St Apt D
Philadelphia, PA 19139-3946
Phone (281) 908-3185
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS041309 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1497275507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 WALNUT ST APT D",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393946",
"telephone_number": "281-908-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 ACADEMY RD STE C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141137",
"telephone_number": "215-637-7474",
"fax_number": "215-637-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALZADA-SANCHEZ",
"first_name": "YOEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.