Active NPI
Caylor Mark Orr, DMD
- General Practice Dentistry
- Tifton, GA
National Provider Identifier
1902592579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN123091
- Practice address
- 802 Central Ave N
Tifton, GA 31794-3966 - Phone
- (229) 586-6030
- NPI assigned
- Apr 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123091 | GA | Primary |
Addresses
Primary practice location
802 Central Ave N
Tifton, GA 31794-3966
Mailing address
2704 N Oak St BLDG C1
Valdosta, GA 31602-1796
Phone (229) 392-6540
Other practice location 1
2704 N Oak St Bldg C1
Valdosta, GA 31602-1796
Phone (229) 242-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123091 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1902592579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 N OAK ST BLDG C1",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021796",
"telephone_number": "229-392-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 CENTRAL AVE N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943966",
"telephone_number": "229-586-6030"
}
],
"practiceLocations": [
{
"address_1": "2704 N Oak St Bldg C1",
"address_purpose": "LOCATION",
"city": "Valdosta",
"state": "GA",
"postal_code": "316021796",
"country_code": "US",
"telephone_number": "229-242-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORR",
"first_name": "CAYLOR",
"middle_name": "MARK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.