Individual provider Active NPI

Jarrett Caldwell, PHARMD, DDS

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1366679706
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN1001872 Issued in DC
Practice address
2012 Hecht Ave NE
Washington, DC 20002-1668
Phone
(202) 669-6571
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN1001872 DC
Pediatric Dentistry 1223P0221X DEN1001872 DC Primary

Addresses

Primary practice location

2012 Hecht Ave NE
Washington, DC 20002-1668

Mailing address

715 Ingraham St NW
Washington, DC 20011-7707
Phone (202) 669-6571

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
DEN1001872DCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Pediatric Dentistry & Orthodontics PLLC Pediatric Dentistry CurrentSince Jan 17, 2022 Accepting new patients

Locations

2012 Hecht Ave NE
Washington, DC 20002
Phone (202) 669-6571

Organizations & group practices 1

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1366679706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 INGRAHAM ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117707",
            "telephone_number": "202-669-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HECHT AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021668",
            "telephone_number": "202-669-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JARRETT",
        "name_prefix": "Dr.",
        "credential": "PHARMD, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "DEN1001872",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1001872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.