DR. MICKEY JOE CALVERLEY (NPI# 1902029077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902029077 |
| Entity Type | Individual |
| Full Name | DR. MICKEY JOE CALVERLEY |
| Credential | D.D.S. |
| Practice Address |
1314 E Sonterra Blvd Suite 104 San Antonio TX 78258-4278 |
| Practice Telephone | 2103088211 |
| Practice Fax Number | 2103080650 |
| Mailing Telephone | 2103088211 |
| Mailing Fax Number | 2103080650 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
10678 | TX | Dental Providers |
| Street Address |
1314 E SONTERRA BLVD SUITE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905839 | Christopher Macdonald Debacker | Ophthalmology | 1314 E Sonterra Blvd, Suite 5104, San Antonio, TX 78258-4278 | 2006-05-03 |
| 1770148298 | Kira Angelique Hernandez | Nurse Practitioner | 1314 E Sonterra Blvd, San Antonio, TX 78258-4278 | 2019-05-09 |
| 1063996338 | Rachel Lauren Hedrick | Psychologist | 1314 E Sonterra Blvd, Suite 2208, San Antonio, TX 78258 | 2018-09-21 |
| 1184099871 | Eyeplastx | Ophthalmology | 1314 E Sonterra Blvd, Suite 5104, San Antonio, TX 78258-4278 | 2015-12-06 |
| 1629310610 | Alamo Family Foot Care, Pa | Podiatrist | 1314 E Sonterra Blvd, Bldg. 3, Suite 302, San Antonio, TX 78258-4278 | 2013-03-18 |
| 1497007397 | Texas Hill Country Endodontics Pllc | Dentist | 1314 E Sonterra Blvd, 301, San Antonio, TX 78258-4278 | 2012-10-03 |
| 1619292166 | Facial & Oculoplastic Surgery Center of Texas, Pllc | Otolaryngology | 1314 E Sonterra Blvd, Suite 5104, San Antonio, TX 78258-4278 | 2010-03-27 |
| 1053549691 | Kristi Michelle Olivares | Nurse Practitioner | 1314 E Sonterra Blvd, #5102, San Antonio, TX 78258-4278 | 2009-06-22 |
| 1952579575 | Debra E Gallop | Nurse Practitioner | 1314 E Sonterra Blvd, Suite 5203, San Antonio, TX 78258-4278 | 2008-02-16 |
| 1073796736 | Can Thera, Pa | Internal Medicine | 1314 E Sonterra Blvd, Suite 5101, San Antonio, TX 78258-4278 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
| 1083263149 | Reconstructive Dental Specialists of Texas | Dentist | 235 E Hildebrand Ave Ste 200, San Antonio, TX 78212-2430 | 2019-09-10 |
| 1154817666 | Isra E Ahmed | Dentist | 2626 Babcock Rd Apt 2621, San Antonio, TX 78229-4842 | 2018-07-09 |
| 1811221989 | Jose F Cortes | Dentist | 14341 Blanco Rd, San Antonio, TX 75216 | 2009-09-23 |
| 1760679146 | Paul Michael Mclornan | Dentist | Clear Choice Dental Implant Center, 14100 San Pedro, Suite #110, San Antonio, TX 78232 | 2007-09-28 |
| 1770785594 | Jason R Gillespie | Dentist | 4118 Mccullough Ave Ste 11, San Antonio, TX 78212-1905 | 2007-06-04 |
| 1124146618 | Wade Donald Smith | Dentist | 4875 Fredericksburg Road, San Antonio, TX 78229-3627 | 2007-03-26 |
| 1528182888 | Stephen Michael Schmitt | Dentist | 7826 Louis Pasteur Dr Ste 104, San Antonio, TX 78229-3410 | 2007-03-19 |
| 1831252493 | Joseph Michael Mahon | Dentist | 8219 Fredericksburg Rd, San Antonio, TX 78229-3355 | 2006-12-18 |
| 1356350433 | Charles Arthur Netti | Dentist | 4118 Mccullough Ave, Suite 12, San Antonio, TX 78212-1979 | 2006-08-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.