CALVIN MCLEMORE III D.D.S.
NPI 1609083989
Dentist - General Practice in San Bernardino, CA

Active since May 17, 2007PECOS Enrolled
362 E VANDERBILT WAY, SAN BERNARDINO, CA 92408(909) 384-1111 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Calvin Mclemore Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVIN MCLEMORE III D.D.S. (NPI 1609083989) is an individual general practice provider in San Bernardino, California, licensed in California (54738) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tustin.

NPPES Registry Identity

NPI1609083989
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCALVIN MCLEMORE IIICredential: D.D.S.
Location Address362 E VANDERBILT WAYSan Bernardino, CA 92408-3593
Mailing AddressPo Box 5811Riverside, CA 92517-5811 · (909) 733-9491
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 24, 2018
NPI 1609083989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 54738
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
362 E VANDERBILT WAY, San Bernardino, CA 92408

Secondary Practice Location 1

Location 117482 Irvine BlvdTustin, CA 92780-3032 · Phone (909) 733-9491

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Calvin Mclemore Iii D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
362 E VANDERBILT WAY, SUITE 110
SAN BERNARDINO, CA 92408
Dentist
362 E VANDERBILT WAY
SAN BERNARDINO, CA 92408
Dentist (Endodontics)
362 E VANDERBILT WAY
SAN BERNARDINO, CA 92408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvin Mclemore's NPI number?

The NPI number for Calvin Mclemore is 1609083989. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Calvin Mclemore located?

Calvin Mclemore practices at 362 E Vanderbilt Way, San Bernardino, CA 92408. The listed phone number is (909) 384-1111.

What is Calvin Mclemore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Calvin Mclemore enrolled in Medicare?

Yes. Calvin Mclemore is registered in the Medicare PECOS enrollment system.

What insurance does Calvin Mclemore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Calvin Mclemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calvin Mclemore was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.