Active NPI
Victoria M Caldwell, DMD
- Periodontics
- Cherry Hill, NJ
National Provider Identifier
1891852190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DI0203930
- Practice address
- 108 Ridge Rd
Cherry Hill, NJ 08002-3022 - Phone
- (856) 779-1375
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DI0203930 | NJ | Primary |
| Periodontics | 1223P0300X | DS029454L | PA |
Addresses
Primary practice location
108 Ridge Rd
Cherry Hill, NJ 08002-3022
Mailing address
108 Ridge Rd
Cherry Hill, NJ 08002-3022
Phone (856) 779-1375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150803001134 | NJ | Order and Referring Only - Dentist | 0244544302 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI0203930 | NJ | MD | Periodontist |
| DS029454L | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria M Caldwell DMD PC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Cherry Hill, NJ
- NPI 1720145022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891852190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 RIDGE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023022",
"telephone_number": "856-779-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 RIDGE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023022",
"telephone_number": "856-779-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "VICTORIA",
"middle_name": "M",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "DI0203930",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS029454L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.