Individual provider Active NPI

Carla G Calcaterra, DDS

  • General Practice Dentistry
  • Orange, CT
National Provider Identifier
1609004357
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010300 Issued in CT
Practice address
291 S Lambert Rd Ste 1
Orange, CT 06477-3559
Phone
(203) 799-2929
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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 010300 CT Primary

Addresses

Primary practice location

291 S Lambert Rd Ste 1
Orange, CT 06477-3559

Mailing address

291 S Lambert Rd Ste 1
Orange, CT 06477-3559
Phone (203) 799-2929

Other identifiers 1

IdentifierTypeStateIssuer
004011136MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150506000986 CT Order and Referring Only - DentistPractitioner - Dentist 7113246562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010300CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Calcaterra DDS PC General Practice Past Accepting new patients

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1609004357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S LAMBERT RD STE 1",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773559",
            "telephone_number": "203-799-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S LAMBERT RD STE 1",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773559",
            "telephone_number": "203-799-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "CARLA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.