Active NPI
Nathaniel Boone Caldon, DMD
- Dentist
- Biloxi, MS
National Provider Identifier
1598950669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009764
- Practice address
- 606 Fisher St
Suite E
Biloxi, MS 39534-2513 - Phone
- (228) 376-0511
- NPI assigned
- Sep 11, 2007
- 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 | 009764 | CT | Primary |
Addresses
Primary practice location
606 Fisher St
Suite E
Biloxi, MS 39534-2513
Mailing address
4429 Monte Carlo Dr
Suite E
Fort Collins, CO 80525-4868
Phone (518) 330-9597
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 |
|---|---|---|---|
| 009764 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1598950669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 MONTE CARLO DR",
"address_2": "SUITE E",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254868",
"telephone_number": "518-330-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 FISHER ST",
"address_2": "SUITE E",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342513",
"telephone_number": "228-376-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDON",
"first_name": "NATHANIEL",
"middle_name": "BOONE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "009764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.