Active NPI
Caitlin Spurlock Hulver, DDS
- General Practice Dentistry
- Fairfax, VA
National Provider Identifier
1053759027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401415121
- Practice address
- 10509 Braddock Rd Ste B
Fairfax, VA 22032-2239 - Phone
- (703) 503-5031
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4060 | WV | |
| General Practice Dentistry | 1223G0001X | 0401415121 | VA | Primary |
Addresses
Primary practice location
10509 Braddock Rd Ste B
Fairfax, VA 22032-2239
Mailing address
10509 Braddock Rd Ste B
Fairfax, VA 22032-2239
Phone (035) 035-0317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 22, 2021 through Sep 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415121 | VA | MD | General Practice Dentistry |
| 4060 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caitlin S. Hulver DDS PLLC | Current | Accepting new patients |
Locations
10509 Braddock Rd
Ste B
Fairfax, VA 22032
Phone (703) 503-5031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Metropolitan Dental Centre
- Dental Clinic/Center
- Fairfax, VA
- NPI 1225894686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1053759027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10509 BRADDOCK RD STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322239",
"telephone_number": "035-035-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10509 BRADDOCK RD STE B",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322239",
"telephone_number": "703-503-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULVER",
"first_name": "CAITLIN",
"middle_name": "SPURLOCK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4060",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.