John Batista Caldieraro III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027703 Issued in IL

Practice address

20657 Staunton Rd
Staunton, IL 62088-4350

Phone

(618) 635-8333

NPI assigned

Jun 27, 2008

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Caldieraro Family Dentistry, PC

  • General Practice Dentistry
  • Wood River, IL
  • NPI 1669871463
  Authorized official Same address or phone
• John B Caldieraro III, DMD, PC

  dba Caldieraro Dental

  • General Practice Dentistry
  • Staunton, IL
  • NPI 1982154027
  NPD (past) Authorized official

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1891957130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 STAUNTON RD",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620884350",
            "telephone_number": "618-635-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20657 STAUNTON RD",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620884350",
            "telephone_number": "618-635-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDIERARO",
        "first_name": "JOHN",
        "middle_name": "BATISTA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027703",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Bagaglio
• Joseph D Baum, D.C.
• Robert Joseph Brown, D.C.
• Josh Buschling, D.O.
• John B Caldieraro Jr., RPH
• Thomas Albert Cioni, D.M.D.
• Clarkson Optometry Illinois PC
• Michael A Coalson, L.P.T
• Community Hospital of Staunton (Community Hospital of Staunton Specialty Clinic)
• Community Hospital of Staunton

• General Practice Dentistry in Staunton, IL
• Providers in Staunton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.

Verify at the official NPI Registry.