Melissa Calderon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6957 Issued in TN

Practice address

8520 Macon Rd
Suite #1
Cordova, TN 38018-7147

Phone

(901) 754-4383

Fax

(901) 754-3156

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 TN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Family Dentistry of Memphis, PC

  dba American Family Dentistry Cordova

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1053072942
  NPD (past)
• Cordova Family Dentistry

  dba American Family Dentistry

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1790826311
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891866307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORDOVA FAMILY DENTISTRY",
            "address_2": "8520 MACON RD, #2",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188520",
            "telephone_number": "901-754-4383",
            "fax_number": "901-754-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 MACON RD",
            "address_2": "SUITE #1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187147",
            "telephone_number": "901-754-4383",
            "fax_number": "901-754-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "6957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Michelle Butler
• Kendra Butler, PMHNP-BC
• Ted Butterfield, D.P.M.
• Kenneth Norris Byrd, M.D.
• Cherilyn Carrillo Cabanero, PA-C
• Asia Caldwell, PMHNP
• Marcia Moray Calhoun, PHARMD
• Alicia Camp, WHNP
• Alexicia Darnisha Campbell, BS, HHA
• Scot Kenneth Canfield, PHD,APN-BC

• Dentist in Cordova, TN
• Providers in Cordova, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.