Phillip Elwood Caldwell, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3774 Issued in NC

Practice address

1367 Walter Reed Rd Ste 103
Fayetteville, NC 28304

Phone

(910) 485-8749

Fax

(910) 485-8398

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1679587745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WALTER REED RD STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044445",
            "telephone_number": "910-485-8749",
            "fax_number": "910-485-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WALTER REED RD STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-485-8749",
            "fax_number": "910-485-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "PHILLIP",
        "middle_name": "ELWOOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "3774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991321",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caldwell and Associates Behavior Health, LLC
• Christine Caldwell, COTA/L
• Elizabeth Caldwell
• Jeryl Robin Caldwell, LPTA
• Kimberly Ann Caldwell, LCMHCA
• Towania Caldwell, LCMHC
• Calhoun Family Pharmacy Inc
• Derriel O Calhoun, CADC
• Amanda Jean Call, LPTA
• Ashley Ellsworth Call, MD

• Pediatric Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.