Individual provider Active NPI

Stephanie Michelle Calora, D.M.D.

  • Pediatric Dentistry
  • West Chester, PA
National Provider Identifier
1942706304
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS042527 Issued in PA
Practice address
200 Willowbrook LN Ste 220
West Chester, PA 19382-5697
Phone
(610) 806-6381
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS042527 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 Willowbrook LN Ste 220
West Chester, PA 19382-5697

Mailing address

200 Willowbrook LN Ste 220
West Chester, PA 19382-5697
Phone (610) 806-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190129002357 NY Order and Referring Only - DentistPractitioner - Dentist 7214274281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042527PAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1942706304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILLOWBROOK LN STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825697",
            "telephone_number": "610-806-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WILLOWBROOK LN STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825697",
            "telephone_number": "610-806-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALORA",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042527",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.