DR. RUSSELL W MCCALLEY DDS
NPI 1831137645
Dentist - General Practice in San Diego, CA
About Dr. Russell W Mccalley Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUSSELL W MCCALLEY DDS (NPI 1831137645) is an individual general practice provider in San Diego, California, licensed in California (36176) and active in the NPI registry since June 2006. He has opted out of Medicare through May 12, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Russell W Mccalley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 12, 2016 through May 12, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92117
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 Russell Mccalley's NPI number?
The NPI number for Russell Mccalley is 1831137645. It was assigned to this individual provider in the NPPES registry on June 3, 2006.
Where is Russell Mccalley located?
Russell Mccalley practices at 4320 Genesee Ave Suite 201, San Diego, CA 92117. The listed phone number is (858) 560-1996.
What is Russell Mccalley's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Russell Mccalley enrolled in Medicare?
No. Russell Mccalley has opted out of Medicare through May 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Russell Mccalley was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Russell W Mccalley, DDS · NPI 1831137645
General Practice provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1831137645 (Entity type: Individual)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 36176 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4320 GENESEE AVE, SUITE 201, San Diego, CA 92117-4900
- **Phone:** (858) 560-1996
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 12, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1831137645) · Data from the CMS NPPES public registry.