Individual provider Active NPI

Rosa E Calcano, D.M.D.

  • General Practice Dentistry
  • Chestnut Hill, MA
National Provider Identifier
1578611133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19102 Issued in MA
Practice address
631A VFW Pkwy
Chestnut Hill, MA 02467-3656
Phone
(617) 327-3500
Fax
(617) 325-3887
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19102 MA Primary

Addresses

Primary practice location

631A VFW Pkwy
Chestnut Hill, MA 02467-3656

Mailing address

631A VFW Pkwy
Chestnut Hill, MA 02467-3656
Phone (617) 327-3500

Other identifiers 1

IdentifierTypeStateIssuer
19102OtherMASTATE LICENSE #

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

LicenseStateTypeSpecialty
19102MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578611133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631A VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656",
            "telephone_number": "617-327-3500",
            "fax_number": "617-325-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631A VFW PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673656",
            "telephone_number": "617-327-3500",
            "fax_number": "617-325-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCANO",
        "first_name": "ROSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "19102",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.