Healthcare Provider Details

I. General information

NPI: 1982999496
Provider Name (Legal Business Name): DANIEL R CALDERON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 DENTAL CIR
CHAPEL HILL NC
27599-7050
US

IV. Provider business mailing address

160 DENTAL CIR
CHAPEL HILL NC
27599-7050
US

V. Phone/Fax

Practice location:
  • Phone: 919-262-6846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD458107
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD458107
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: