Individual provider Active NPI

Robert Caird

  • General Practice Dentistry
  • Shelbyville, IN
National Provider Identifier
1215099239
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008556A Issued in IN
Practice address
125 W Broadway St
Shelbyville, IN 46176-1201
Phone
(317) 421-0403
Fax
(317) 421-0412
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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 12008556A IN Primary

Addresses

Primary practice location

125 W Broadway St
Shelbyville, IN 46176-1201

Mailing address

125 W Broadway St
Shelbyville, IN 46176-1201
Phone (317) 421-0403

Other identifiers 1

IdentifierTypeStateIssuer
100237240MedicaidIN

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
12008556AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Family Dentistry Inc Past Accepting new patients
Major Hospital 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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1215099239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W BROADWAY ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761201",
            "telephone_number": "317-421-0403",
            "fax_number": "317-421-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W BROADWAY ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761201",
            "telephone_number": "317-421-0403",
            "fax_number": "317-421-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRD",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008556A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.