Organization Active NPI

Richard Calvo DDS PLLC

  • General Practice Dentistry
  • Issaquah, WA
National Provider Identifier
1760728331
Registry record updated Dec 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009044 Issued in WA
Legal business name
RICHARD CALVO DDS PLLC
Practice address
208 Front St N
Issaquah, WA 98027-3232
Phone
(425) 392-4323
NPI assigned
Dec 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2012

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

Authorized official

Name
Richard Calvo, DDS
Title
Owner
Phone
(425) 392-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009044 WA Primary

Addresses

Primary practice location

208 Front St N
Issaquah, WA 98027-3232

Mailing address

208 Front St N
Issaquah, WA 98027-3232
Phone (425) 392-4323

National Provider Directory

National Provider Directory

Locations

208 Front St N
Issaquah, WA 98027
Phone (425) 392-4323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356739200000",
    "number": "1760728331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273232",
            "telephone_number": "425-392-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273232",
            "telephone_number": "425-392-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CALVO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-29",
        "last_updated": "2012-12-29",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-392-5323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.