Whitney Robert Caldwell, D.D.S.

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1831578020 · NPPES record last updated May 24, 2016

Key facts

NPI
1831578020
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1001582 (DC)
Practice address
2515 13TH St NW Apt 205
Washington, DC 20009-5235
Phone
(202) 425-3680
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 27, 2024 through Jun 27, 2028

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1001582DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Implant Dentistry of Maryland, LLC General Practice Current Accepting new patients
Nexus Dental Partners Past Accepting new patients
Dunn Dental Group PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1001582 DC Yes

Addresses

Primary practice location

2515 13TH St NW Apt 205
Washington, DC 20009-5235

Mailing address

2515 13TH St NW Apt 205
Washington, DC 20009-5235
Phone (202) 425-3680

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.