Individual provider Active NPI

Robert K Cauley Jr., D.M.D.

  • Pediatric Dentistry
  • Plaistow, NH
National Provider Identifier
1700293586
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
04424 Issued in NH
Practice address
166 Plaistow Rd Unit 201
Plaistow, NH 03865-2843
Phone
(603) 974-1150
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040708 PA
Dentist 122300000X 016.0105031 VT
Pediatric Dentistry 1223P0221X 04424 NH Primary

Addresses

Primary practice location

166 Plaistow Rd Unit 201
Plaistow, NH 03865-2843

Mailing address

166 Plaistow Rd Unit 201
Plaistow, NH 03865-2843
Phone (603) 974-1150

Other practice location 1

2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone (508) 272-3671

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

LicenseStateTypeSpecialty
DS040708PAMDDentist
016.0105031VTMDDentist
04424NHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaistow Pediatric Dentistry & Orthodontics, PLLC Pediatric Dentistry PastSince Nov 27, 2022 Accepting new patients
Plaistow Pediatric Dentistry & Orthodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1700293586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 PLAISTOW RD UNIT 201",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652843",
            "telephone_number": "603-974-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PLAISTOW RD UNIT 201",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652843",
            "telephone_number": "603-974-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191344427",
            "country_code": "US",
            "telephone_number": "508-272-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAULEY",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040708",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0105031",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "04424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.