Erickson Calzado Callejo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19914 Issued in OH

Practice address

4095 Marshall Rd
Kettering, OH 45429-5111

Phone

(937) 294-0776

Fax

(937) 298-7663

NPI assigned

Oct 31, 2007

Sex

Male

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 OH

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

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1821277435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 MARSHALL RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295111",
            "telephone_number": "937-294-0776",
            "fax_number": "937-298-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 MARSHALL RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295111",
            "telephone_number": "937-294-0776",
            "fax_number": "937-298-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJO",
        "first_name": "ERICKSON",
        "middle_name": "CALZADO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missole Cadet-Patterson
• Labrenda Jean Caffey
• Carrie Adele Cain, CNP
• Robert A Cain, D.O
• Kathleen Nicole Calderon Morales, NP
• Alejandro R Calvo, MD
• Veronica Ines Camacho, MD
• Cambridge Home Health Care, Inc
• James P Campbell, MD
• Jennifer Campbell, CRNA

• Dentist in Kettering, OH
• Providers in Kettering, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.