Kenneth M. Caldwell, MD, a Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A22558 Issued in CA

Legal business name

KENNETH M. CALDWELL, MD, A MEDICAL CORPORATION

Practice address

3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547

Phone

(925) 284-5300

Fax

(925) 284-5381

NPI assigned

Aug 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth M Caldwell, MDNPI 1457398224

Title

MD/President

Phone

(925) 284-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth M Caldwell, MD

  • Orthopaedic Surgery Physician
  • Lafayette, CA
  • NPI 1457398224
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891809943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WHITE OAK DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-284-5300",
            "fax_number": "925-962-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493547",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Grand Avenue",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94612",
            "country_code": "US",
            "telephone_number": "510-663-7700",
            "fax_number": "510-663-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH M. CALDWELL, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "925-284-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A22558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A225581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caitlyn Marie Kelly-Kilgore, MS
• Kimberly Dawn Kerlin, M.A., LMFT
• Eliza Kern, AMFT
• Kevin Ko, a Professional Dental Corporation
• Aimee Keyashian, MD
• William Barry Kievning, PHYSICAL THERAPIST

• Orthopaedic Surgery Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.