Caldieraro Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027703 Issued in IL

Legal business name

CALDIERARO FAMILY DENTISTRY, PC

Practice address

332 N Central Ave
Wood River, IL 62095-1822

Phone

(618) 254-3355

NPI assigned

Aug 18, 2014

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John B Caldieraro III, DMDNPI 1891957130

Title

Owner

Phone

(618) 635-8333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Batista Caldieraro III, DMD

  • General Practice Dentistry
  • Staunton, IL
  • NPI 1891957130
  Authorized official Same address or phone

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1669871463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N CENTRAL AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951822",
            "telephone_number": "618-254-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N CENTRAL AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951822",
            "telephone_number": "618-254-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDIERARO FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "CALDIERARO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-635-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bravo Care of Wood River Inc
• Bria of Woodriver LP
• Bob Burris, M.D.
• Laura Burton
• Keith N Byler, D. O.
• Camp Drugs, Inc (camp drug store)
• Abigail Marie Cantalupo
• Andrew G. Carr, D.C.
• Chestnut Health Systems Inc.
• Wak S Chia, M.D

• General Practice Dentistry in Wood River, IL
• Providers in Wood River, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.