Dr. Caldwell'S Dental Office

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7108 Issued in IA

Legal business name

DR. CALDWELL'S DENTAL OFFICE

Practice address

1756 5TH St
Coralville, IA 52241-1819

Phone

(319) 351-3675

Fax

(319) 351-3675

NPI assigned

Jun 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benita H. Caldwell, D.D.S.

Title

Dentist

Phone

(319) 351-3675

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1033370374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 5TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411819",
            "telephone_number": "319-351-3675",
            "fax_number": "319-351-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 5TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411819",
            "telephone_number": "319-351-3675",
            "fax_number": "319-351-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CALDWELL'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "BENITA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "319-351-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232058",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF IOWA",
            "identifier": "232058",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "23205",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Rickertsen Dirksen, MD
• Darryl Wayne Dodd, LMT, NRTP
• Marc Frank Doobay, MPAS, PA-C
• Elizabeth Doore, M.S., CCC-SLP
• Dr Arianne Johnson-Calvopina PLC
• Kari Dudley, LISW
• Jamie Lynn Duffy, ARNP
• Erin I Duncan, LMFT
• Claibourne Ira Dungy, MD MPH
• James Thomas Dunne Jr., DMD, MS

• Dental Clinic/Center in Coralville, IA
• Providers in Coralville, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.