Carlos Martinez Calderon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110415 Issued in CA

Practice address

2387 US Highway 86
Imperial, CA 92251-9780

Phone

(760) 353-5100

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• People's Dental

  • General Practice Dentistry
  • Imperial, CA
  • NPI 1750565701
  NPD (past)
• Sun Dental Office of Dr. Cervantes

  • General Practice Dentistry
  • Imperial, CA
  • NPI 1154566743
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1518790229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 K ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022992",
            "telephone_number": "352-557-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 US HIGHWAY 86",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519780",
            "telephone_number": "760-353-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CALDERON",
        "first_name": "CARLOS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Alex Mancilla, O.D.
• Manzana Family Medicine LLC
• Mari Carlo Manzana, M.D., Inc.
• Stacie Ann Martin, APRN
• Tyler Sanga Martin, NP
• Elyssa Marie Martinez, ASSOCIATE'S DEGREE
• Kameron Martinez
• Monica Romo Martinez
• Masoud Afshar MD Inc
• Masoud Afshar MD Inc

• General Practice Dentistry in Imperial, CA
• Providers in Imperial, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.