Calderon & Calderon Dental Implants

Primary specialty

DentistTaxonomy code 122300000X

License

041073 Issued in NY

Legal business name

CALDERON & CALDERON DENTAL IMPLANTS

Practice address

3093 Brower Ave
Oceanside, NY 11572

Phone

(516) 678-8690

Fax

(516) 678-8692

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mine E Calderon

Title

Dentist President

Phone

(516) 678-8690

Specialties & licenses 2

Addresses

Other names 1

• CCDI 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.

• Seth Kaminsky, DDS

  • Dentist
  • Bay Shore, NY
  • NPI 1205333929
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1780806638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 BROWER AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-678-8690",
            "fax_number": "516-678-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 BROWER AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-678-8690",
            "fax_number": "516-678-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDERON & CALDERON DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "516-678-8690",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045794",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCDI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reubin Eugene Burney, CASAC
• Cathleen N/a Butera, PA
• Amanda Buttafuoco
• Tim Buzy
• Lorika Bytyqi, CRNA
• Mario Calderon
• Carolann Calderone, LMSW
• William John Calderone
• Michelle Natasha Calovic
• Samantha Aquino Calpo, MD

• Dentist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.