NPIMap

Organization Active NPI

Jay B. Caldwell D.D.S.

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1033379052
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
105653 Issued in CO
Legal business name
JAY B. CALDWELL D.D.S.
Practice address
1711 N Murray Blvd
Ste a
Colorado Springs, CO 80915-1334
Phone
(719) 574-3240
Fax
(719) 638-1130
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Jay B. Caldwell, DDSNPI 1225112873
Title
President
Phone
(719) 574-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 105653 CO Primary

Addresses

Primary practice location

1711 N Murray Blvd
Ste a
Colorado Springs, CO 80915-1334

Mailing address

1711 N Murray Blvd
Ste a
Colorado Springs, CO 80915-1334
Phone (719) 574-3240

National Provider Directory

National Provider Directory

Locations

1711 N Murray Blvd
Ste A
Colorado Springs, CO 80915
Phone (719) 574-3240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033379052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N MURRAY BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151334",
            "telephone_number": "719-574-3240",
            "fax_number": "719-638-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N MURRAY BLVD",
            "address_2": "STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151334",
            "telephone_number": "719-574-3240",
            "fax_number": "719-638-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY B. CALDWELL D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-574-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "105653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.