NPIMap

Organization Active NPI

Jeffrey S Caldwell DMD Inc

  • Dentist
  • East Liverpool, OH
National Provider Identifier
1275578551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20618 Issued in OH
Legal business name
JEFFREY S CALDWELL DMD INC
Practice address
212 E 5TH St
East Liverpool, OH 43920-3132
Phone
(330) 385-9496
Fax
(330) 385-2848
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Jeffrey S Caldwell, DMDNPI 1356489892
Title
President Dentist
Phone
(330) 385-9496

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20618 OH Primary

Addresses

Primary practice location

212 E 5TH St
East Liverpool, OH 43920-3132

Mailing address

212 E 5TH St
East Liverpool, OH 43920-3132
Phone (330) 385-9496

Other identifiers 3

IdentifierTypeStateIssuer
$$$$$$$$$OtherSOCIAL SECURITY NUMBER
977031OtherUNITED CONCORDIA INSUR
2435341MedicaidOH

National Provider Directory

National Provider Directory

Locations

212 E 5th St
East Liverpool, OH 43920
Phone (330) 385-9496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275578551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203132",
            "telephone_number": "330-385-9496",
            "fax_number": "330-385-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203132",
            "telephone_number": "330-385-9496",
            "fax_number": "330-385-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S CALDWELL DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "330-385-9496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSUR",
            "identifier": "977031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2435341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

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.