Individual provider Active NPI

Sandra I Caldwell, D.D.S

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1326162256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7809 Issued in MD
Practice address
6495 New Hampshire Ave
Suite 108
Hyattsville, MD 20783-3245
Phone
(301) 270-5100
Fax
(301) 270-5524
NPI assigned
Mar 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7809 MD Primary

Addresses

Primary practice location

6495 New Hampshire Ave
Suite 108
Hyattsville, MD 20783-3245

Mailing address

6495 New Hampshire Ave
Suite 108
Hyattsville, MD 20783-3245
Phone (301) 270-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001100 DC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800107004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7809MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326162256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 108",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-270-5100",
            "fax_number": "301-270-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 108",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-270-5100",
            "fax_number": "301-270-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SANDRA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.