NPIMap

Organization Active NPI

Caldwell Dental Assoc

  • Dentist
  • Caldwell, NJ
National Provider Identifier
1093869877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8645 Issued in NJ
Legal business name
CALDWELL DENTAL ASSOC
Practice address
30 Academy Rd
Caldwell, NJ 07006
Phone
(973) 228-3422
Fax
(973) 228-0443
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M Holda, DDSNPI 1295078582
Title
President
Phone
(973) 228-3422

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8645 NJ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 10863 NJ

Addresses

Primary practice location

30 Academy Rd
Caldwell, NJ 07006

Mailing address

30 Academy Rd
Caldwell, NJ 07006
Phone (973) 228-3422

National Provider Directory

National Provider Directory

Locations

30 Academy Rd
Caldwell, NJ 07006
Phone (973) 228-3422

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093869877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ACADEMY RD",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-228-3422",
            "fax_number": "973-228-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACADEMY RD",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-228-3422",
            "fax_number": "973-228-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL DENTAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-228-3422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "8645",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "10863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.