Individual provider Active NPI

Caleb Lee Sizemore, D.D.S.

  • General Practice Dentistry
  • White Sulphur Springs, WV
National Provider Identifier
1669852323
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4168 Issued in WV
Practice address
304 E Main St
White Sulphur Springs, WV 24986-2338
Phone
(540) 691-9710
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4168 WV Primary

Addresses

Primary practice location

304 E Main St
White Sulphur Springs, WV 24986-2338

Mailing address

304 E Main St
P.O. Box 399
White Sulphur Springs, WV 24986-2338
Phone (304) 536-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218002388 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284939885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4168WVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1669852323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E MAIN ST",
            "address_2": "P.O. BOX 399",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862338",
            "telephone_number": "304-536-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E MAIN ST",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862338",
            "telephone_number": "540-691-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "CALEB",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Sulphur Springs, WV

Sources for this page

Verify at the official NPI Registry.