Active NPI
Lenora Eileen Caldwell, DDS
- Dentist
- Baltimore, MD
National Provider Identifier
1073761607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13193
- Practice address
- 1000 E Eager St
Baltimore, MD 21202-5533 - Phone
- (410) 541-4432
- Fax
- (410) 522-9808
- NPI assigned
- Sep 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13193 | MD | Primary |
Addresses
Primary practice location
1000 E Eager St
Baltimore, MD 21202-5533
Mailing address
1714 Park Ave
209
Baltimore, MD 21217-4334
Phone (410) 206-6434
Other practice location 1
200 E 33rd St Ste 284
Baltimore, MD 21218-3322
Phone (410) 235-0062
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Dental Services P a | Dentist | Past | Accepting new patients |
| Smilerite Oral Health Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1548403843
-
- Dentist
- Baltimore, MD
- NPI 1669687802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1073761607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 PARK AVE",
"address_2": "209",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174334",
"telephone_number": "410-206-6434",
"fax_number": "443-869-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E EAGER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212025533",
"telephone_number": "410-541-4432",
"fax_number": "410-522-9808"
}
],
"practiceLocations": [
{
"address_1": "200 E 33rd St Ste 284",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212183322",
"country_code": "US",
"telephone_number": "410-235-0062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "LENORA",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.