Individual provider Active NPI

Calvin Mike Asay, DDS

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1902020779
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22707 Issued in TX
Practice address
16 Chisholm TRL
Round Rock, TX 78681-5043
Phone
(512) 244-2796
Fax
(512) 244-7334
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22707 TX Primary

Addresses

Primary practice location

16 Chisholm TRL
Round Rock, TX 78681-5043

Mailing address

16 Chisholm TRL
Round Rock, TX 78681-5043
Phone (512) 244-2796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22707TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1902020779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHISHOLM TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815043",
            "telephone_number": "512-244-2796",
            "fax_number": "512-244-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHISHOLM TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815043",
            "telephone_number": "512-244-2796",
            "fax_number": "512-244-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAY",
        "first_name": "CALVIN",
        "middle_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

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