Mike E. Calderon DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIKE E. CALDERON DDS PC

Practice address

720 Montauk Hwy
West Islip, NY 11795-4411

Phone

(631) 666-1392

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Mike Elvis Calderon, D.D.S.

Title

Dentist

Phone

(631) 666-1392

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1811258627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SUNRISE HWY.",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-1392",
            "fax_number": "631-666-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954411",
            "telephone_number": "631-666-1392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Sunrise Hwy.",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "11706",
            "country_code": "US",
            "telephone_number": "631-666-1392",
            "fax_number": "631-666-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIKE E. CALDERON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "ELVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-666-1392",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045-794",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen G Meyers, PHD
• Susan Marie Miale, DPT, PCS
• Jessica Renee Mianulli
• Michael J. Sacca, M.D., P.C.
• Crystal Michaelides, DO
• Jennifer Miller, PA
• Susan Milligan, PA
• Kaleighan Mills, LMSW
• Justin Andrew Minerva, DPT
• Amanda Elise Mirchel, PHYSICIAN ASSISTANT

• Dental Clinic/Center in West Islip, NY
• Providers in West Islip, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.