Individual provider Active NPI

Seth Dressman Caldon, DMD

  • General Practice Dentistry
  • Fort Bragg, NC
National Provider Identifier
1043560006
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01902944 Issued in IL
Practice address
Normandy Dr BLDG 6-6837
Attn:Charles Bernatovitz
Fort Bragg, NC 28310-7302
Phone
(910) 643-2196
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 01902944 IL Primary

Addresses

Primary practice location

Normandy Dr BLDG 6-6837
Attn:Charles Bernatovitz
Fort Bragg, NC 28310-7302

Mailing address

Normandy Dr BLDG 6-6837
Attn:Charles Bernatovitz
Fort Bragg, NC 28310-7302
Phone (910) 643-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01902944ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1043560006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORMANDY DR BLDG 6-6837",
            "address_2": "ATTN:CHARLES BERNATOVITZ",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-643-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORMANDY DR BLDG 6-6837",
            "address_2": "ATTN:CHARLES BERNATOVITZ",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-643-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDON",
        "first_name": "SETH",
        "middle_name": "DRESSMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01902944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.