NPIMap

Organization Active NPI

Calderon Dental Inc

  • General Practice Dentistry
  • Holland, OH
National Provider Identifier
1790061109
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23082 Issued in OH
Legal business name
CALDERON DENTAL INC
Practice address
6658 Airport Hwy
Holland, OH 43528-8135
Phone
(419) 867-3400
NPI assigned
Oct 30, 2011
Last updated
Oct 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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

Authorized official

Name
Peter Calderon, DDSNPI 1053576587
Title
Owner
Phone
(419) 867-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23082 OH Primary

Addresses

Primary practice location

6658 Airport Hwy
Holland, OH 43528-8135

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000

National Provider Directory

National Provider Directory

Locations

10411 Fremont Pike
Perrysburg, OH 43551
Phone (567) 336-4154

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1319932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319932800000",
    "number": "1790061109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 AIRPORT HWY",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288135",
            "telephone_number": "419-867-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDERON DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-30",
        "last_updated": "2011-10-30",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-867-3400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "23082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; 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.