Active NPI
Coleton Allen Caldwell, DDS
- Dentist
- Kansas City, MO
National Provider Identifier
1477032845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2018017555
- Practice address
- 5571 NW Barry Rd
Kansas City, MO 64154-1408 - Phone
- (816) 587-0600
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2018017555 | MO | Primary |
Addresses
Primary practice location
5571 NW Barry Rd
Kansas City, MO 64154-1408
Mailing address
5571 NW Barry Rd
Kansas City, MO 64154-1408
Phone (816) 587-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230118001570 | MO | Practitioner - Dentist | 3274950332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Steven C. Mingos & Associates, LLC | Single Specialty | Past | Accepting new patients |
| Altenburg Dental Group, DDS, P.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1548378128
Single Specialty
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1912029893
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1477032845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5571 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541408",
"telephone_number": "816-587-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5571 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541408",
"telephone_number": "816-587-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "COLETON",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MO",
"license": "2018017555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.