Active NPI
Jillian Renee Caldwell, D.M.D.
- General Practice Dentistry
- Naples, FL
National Provider Identifier
1679129316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10461
- Practice address
- 8644 Addison Place Dr
Naples, FL 34119-7832 - Phone
- (239) 688-2278
- NPI assigned
- Aug 16, 2019
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10461 | FL | Primary |
Addresses
Primary practice location
8644 Addison Place Dr
Naples, FL 34119-7832
Mailing address
20713 E. Ocotillo Rd
Ste 102
Queen Creek, AZ 85142
Phone (480) 888-8123
Other names 1
- Ms. Jillian Renee Kersten
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20200402000814 | AZ | Order and Referring Only - Dentist | 3971932559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10461 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle Ash DMD PC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Queen Creek, AZ
- NPI 1528238169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1679129316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20713 E. OCOTILLO RD",
"address_2": "STE 102",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85142",
"telephone_number": "480-888-8123",
"fax_number": "480-888-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8644 ADDISON PLACE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341197832",
"telephone_number": "239-688-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "JILLIAN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "10461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "KERSTEN",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.