Individual provider Active NPI

Reid James Calcott III, DDS

  • Dentist
  • Saginaw, MI
National Provider Identifier
1790849487
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901009399 Issued in MI
Practice address
6225 Gratiot Rd
Saginaw, MI 48638-5999
Phone
(989) 793-8282
NPI assigned
Dec 20, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901009399 MI Primary

Addresses

Primary practice location

6225 Gratiot Rd
Saginaw, MI 48638-5999

Mailing address

6225 Gratiot Rd
Saginaw, MI 48638-5999
Phone (989) 793-8282

Other identifiers 1

IdentifierTypeStateIssuer
1790849487OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160909000923 MI Order and Referring Only - DentistPractitioner - Dentist 0244526788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901009399MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1790849487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385999",
            "telephone_number": "989-793-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385999",
            "telephone_number": "989-793-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCOTT",
        "first_name": "REID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901009399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790849487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.