Active NPI
Philip Bedford Caldwell, DDS,MSD
- Dentist
- Horseshoe Bay, TX
National Provider Identifier
1588036883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9192
- Practice address
- 2815 Bay West Blvd.
Horseshoe Bay, TX 78657-4642 - Phone
- (512) 787-1977
- Fax
- (830) 596-7568
- NPI assigned
- Oct 26, 2015
- 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 | 9192 | TX | Primary |
Addresses
Primary practice location
2815 Bay West Blvd.
Horseshoe Bay, TX 78657-4642
Mailing address
PO Box 4642
Horseshoe Bay, TX 78657-4642
Phone (512) 787-1977
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9192 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodeo Dental | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Horseshoe Bay, TX
- NPI 1225435878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1588036883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4642",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "786574642",
"telephone_number": "512-787-1977",
"fax_number": "830-596-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 BAY WEST BLVD.",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "786574642",
"telephone_number": "512-787-1977",
"fax_number": "830-596-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "PHILIP",
"middle_name": "BEDFORD",
"name_prefix": "Dr.",
"credential": "DDS,MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "9192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horseshoe Bay, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.