Brittany Ann Calderon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108920 Issued in CA

Practice address

1620 E 2ND St Ste a
Beaumont, CA 92223-3171

Phone

(951) 769-9131

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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.

• Moore Dental Corporation

  dba Beaumont Smiles Dental Group

  • General Practice Dentistry
  • Beaumont, CA
  • NPI 1174774699
  NPD (past)

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1780366500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 SCOTT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237704",
            "telephone_number": "951-239-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 2ND ST STE A",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233171",
            "telephone_number": "951-769-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Burciaga, MFT
• Melanie Burmeister, LVN
• Latanya Arlecia Busby, PSYCHOLOGIST
• C.H.a.R.L.E.E. Family Care, Inc.
• Alexis Calderon, FNP
• Zorelis Camacho
• Shay Andrea Campanelli
• Canyoncare Transport
• Monica Lynn Carlson
• Sierra Shannon Carrier, M.S., CCC-SLP

• Dentist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.