Individual provider Active NPI

Ronald Caloss Jr., DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jackson, MS
National Provider Identifier
1932157500
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
17730 Issued in MS
Practice address
1200 N State St Ste 130
Jackson, MS 39202-2027
Phone
(601) 841-3223
Fax
(601) 841-3172
NPI assigned
May 5, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X OS-411-08 MS
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 17730 MS Primary

Addresses

Primary practice location

1200 N State St Ste 130
Jackson, MS 39202-2027

Mailing address

1200 N State St Ste 130
Jackson, MS 39202-2027
Phone (601) 841-3223

Other practice location 1

1225 N State St
Jackson, MS 39202-2064
Phone (601) 841-3223

Other names 1

  • Ron Caloss Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000174 MS Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6901881168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 N State St
Suite 130
Jackson, MS 39202-2027
Phone (662) 391-4797

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS-411-08MSMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center Dentist CurrentSince Jan 1, 2013 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Caloss Center for Facial Reconstruction PLLC Oral and Maxillofacial Surgery CurrentSince Feb 2, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients
Alliance Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1200 N State St
Jackson, MS 39202
Phone (601) 352-2273

1200 N State St
Ste 130
Jackson, MS 39202
Phone (601) 841-3223

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: rcaloss11042@ummc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1932157500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 130",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-841-3223",
            "fax_number": "601-841-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 130",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-841-3223",
            "fax_number": "601-841-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-841-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALOSS",
        "first_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "OS-411-08",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MS",
            "license": "17730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "CALOSS",
            "credential": "DDS, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.