Ronald John Caldwell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22132 Issued in TX

Practice address

715 Old Austin Hwy Ste 400
Bastrop, TX 78602-5165

Phone

(512) 308-0270

Fax

(512) 308-0940

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Planet Smile Dental Centers, PLLC

  • General Practice Dentistry
  • Pflugerville, TX
  • NPI 1417253105

  General Practice

  NPD (past) Authorized official
• Shane Istre Dental Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1144312836

  General Practice

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1417010489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 OLD AUSTIN HWY STE 400",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025165",
            "telephone_number": "512-308-0270",
            "fax_number": "512-308-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 OLD AUSTIN HWY STE 400",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025165",
            "telephone_number": "512-308-0270",
            "fax_number": "512-308-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22132",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172673902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara E Buie, LCSW
• Kendra Noelle Bujnovsky, DPT
• Karissa Bunkley, DPT
• Butler & Burns Ear Nose & Throat
• Chad Everette Byler, D.D.S.
• Lisa Nicole Calliham
• Robert C Capps, MD
• Cardiovascular Specialists of Texas, P.a.
• Christine McMurtrie Carey, RN
• Lance Carroll, M.D.

• All providers in Bastrop, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.