Charles Calder DDS MD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S2-53 Issued in NV

Legal business name

CHARLES CALDER DDS MD PC

Doing business as

Canyon Ridge Oral and Maxillofacial Surgery

Practice address

6140 S Fort Apache Rd
Suite 120
Las Vegas, NV 89148-6702

Phone

(702) 655-8400

Fax

(702) 255-8409

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles T Calder Jr., MD DDSNPI 1528124385

Title

President

Phone

(702) 655-8400

Specialties & licenses 1

Addresses

Other names 1

• Canyon Ridge Oral and Maxillofacial Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles T Calder, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
  • NPI 1528124385
  Authorized official Same address or phone

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1649479940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S FORT APACHE RD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486702",
            "telephone_number": "702-655-8400",
            "fax_number": "702-255-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S FORT APACHE RD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486702",
            "telephone_number": "702-655-8400",
            "fax_number": "702-255-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CALDER DDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-655-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Ridge Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidre Chargualaf, MS, MFCT
• Zachary Charif
• Marsha Marie Charima
• Charity's Place LLC Dba Charity's Place
• Jesse Thomas Charland, CPC-INT
• Charles E. Berry, III, D.M.D, P.C.
• Charles G Mahakian MD
• Charles G Watt D O P L L C
• Charles H McSwain DO PC (McSwain Family Medical)
• Charles H. Tadlock, M.D. LTD (Center for Pain Management)

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.