David J Caldwell, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2464-89 Issued in MS

Practice address

102 E Pineview Dr.
Flowood, MS 39232

Phone

(601) 992-1285

Fax

(601) 992-6526

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Family Dentistry, P.a.

  • General Practice Dentistry
  • Flowood, MS
  • NPI 1972779494
  NPD (past) Authorized official
• Mitchell Dental Clinic, Inc

  • Dentist
  • Flowood, MS
  • NPI 1447610738
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1225254329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E PINEVIEW DR.",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-992-1285",
            "fax_number": "601-992-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E PINEVIEW DR.",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-992-1285",
            "fax_number": "601-992-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "2464-89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09483011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Johns Butler
• Deborah Lane Byerly, CRNFA
• Lindsey F Byrd, PT
• Susan Sanders Byrd, AUD
• Kathryn Caine, RNFA
• Rosalie Ann Camacho-Collier, LICSW
• Camellia Pharmacy Services LLC
• Camellia Pharmacy Services LLC
• Charles Ron Cannon, MD
• Whitney Canoy

• Dentist in Flowood, MS
• Providers in Flowood, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.