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DR. STEPHEN S KALLAOS DDS
NPI 1649349879
Dentist - Periodontics in Moreno Valley, CA

Active since November 06, 2006PECOS Enrolled
24099 POSTAL AVE, SUITE 102, MORENO VALLEY, CA 92553(951) 601-1385(951) 601-1292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen S Kallaos Dds NPPES

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

DR. STEPHEN S KALLAOS DDS (NPI 1649349879) is an individual periodontics provider in Moreno Valley, California, licensed in California (44903) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649349879
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. STEPHEN S KALLAOSCredential: DDS
Location Address24099 POSTAL AVE, SUITE 102Moreno Valley, CA 92553-7709
Mailing Address29 OrovilleIrvine, CA 92602-0923 · (714) 317-9821 · Fax (951) 601-1385
Phone(951) 601-1385
Fax(951) 601-1292
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649349879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 44903
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
24099 POSTAL AVE, Moreno Valley, CA 92553
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Dr. Stephen S Kallaos Dds 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 92553 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.

DR. LYNN DIAZ D.D.S.
Dentist (Endodontics)
24099 POSTAL AVE, SUITE 101
MORENO VALLEY, CA 92553
Riverside County (951) 601-1290
KURT OTTO MARCKS D.D.S.
Dentist (Endodontics)
24099 POSTAL AVE, SUITE 101
MORENO VALLEY, CA 92553
Riverside County (951) 601-1290
BONNIE J. RETAMOZO DDS, MSD
Dentist (Endodontics)
24099 POSTAL AVE
MORENO VALLEY, CA 92553
Riverside County (951) 601-1290

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 Stephen Kallaos's NPI number?

The NPI number for Stephen Kallaos is 1649349879. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Stephen Kallaos located?

Stephen Kallaos practices at 24099 Postal Ave Suite 102, Moreno Valley, CA 92553. The listed phone number is (951) 601-1385.

What is Stephen Kallaos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Stephen Kallaos enrolled in Medicare?

Yes. Stephen Kallaos is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Kallaos 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 6 other insurers list Stephen Kallaos 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 Stephen Kallaos was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.