Individual provider Active NPI

Caitlin Spurlock Hulver, DDS

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1053759027
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415121 Issued in VA
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

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0401415121VAMDGeneral Practice Dentistry
4060WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin S. Hulver DDS PLLC CurrentSince Feb 25, 2024 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.

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

Verify at the official NPI Registry.