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1891866307 NPI number — MELISSA CALDERON DDS

NPI Number: 1891866307
Health Care Provider/Practitioner: MELISSA CALDERON DDS

Information about “1891866307” NPI (MELISSA CALDERON DDS) exists in 1891866307 in HTML format HTML  |  1891866307 in plain Text format TXT  |  1891866307 in PDF (Portable Document Format) PDF  |  1891866307 in an XML format XML  formats.

NPI Number : 1891866307 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891866307",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CALDERON",
    "FirstName": "MELISSA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "CORDOVA FAMILY DENTISTRY",
    "SecondLineMailingAddress": "8520 MACON RD, #2",
    "MailingAddressCityName": "CORDOVA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38018-8520",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-754-4383",
    "MailingAddressFaxNumber": "901-754-3156",
    "FirstLinePracticeLocationAddress": "8520 MACON RD",
    "SecondLinePracticeLocationAddress": "SUITE #1",
    "PracticeLocationAddressCityName": "CORDOVA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38018-7147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-754-4383",
    "PracticeLocationAddressFaxNumber": "901-754-3156",
    "EnumerationDate": "11/13/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "6957",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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