DEYON A MCCALLA DMD
NPI 1649420241
Dentist in Statesville, NC

Q: What is Deyon Mccalla's NPI number?

The NPI number for Deyon Mccalla is 1649420241. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Q: What is Deyon Mccalla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Deyon Mccalla was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 19, 2008PECOS Enrolled

518 BROOKDALE DR, STATESVILLE, NC 28677(704) 838-1108 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deyon A Mccalla Dmd NPPES

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

DEYON A MCCALLA DMD (NPI 1649420241) is an individual dentist in Statesville, North Carolina, licensed in North Carolina (8673) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649420241

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDEYON A MCCALLACredential: DMD

Location Address518 BROOKDALE DRStatesville, NC 28677-4108

Mailing Address518 Brookdale DrStatesville, NC 28677-4108 · (704) 838-1108

Phone(704) 838-1108

Sole ProprietorNo

Enumeration DateSeptember 19, 2008

Last NPPES UpdateOctober 31, 2018

✔ NPI 1649420241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 8673

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

518 BROOKDALE DR, Statesville, NC 28677

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Deyon A Mccalla Dmd 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 28677 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 9

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

GASTON FAMILY HEALTH SERVICES, INC

Clinic/Center (Federally Qualified Health Center (FQHC))