Organization Active NPI

Michelle L. D. Caldier, DDS, PS

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1841461969
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009132 Issued in WA
Legal business name
MICHELLE L. D. CALDIER, DDS, PS
Practice address
1400 112TH Ave SE Ste 100
Bellevue, WA 98004-6901
Phone
(425) 467-8494
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. Michelle Leanne Downey Caldier
Title
President
Phone
(206) 898-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009132 WA Primary

Addresses

Primary practice location

1400 112TH Ave SE Ste 100
Bellevue, WA 98004-6901

Mailing address

1400 112TH Ave SE Ste 100
Bellevue, WA 98004-6901

Other identifiers 1

IdentifierTypeStateIssuer
5037270MedicaidWA

Other names 1

  • Golden Age Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1841461969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 112TH AVE SE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046901",
            "telephone_number": "425-467-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. D. CALDIER, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "CALDIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEANNE DOWNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-898-3883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5037270",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.