Active NPI
Rush-Baker Gaines Caldwell, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenville, SC
National Provider Identifier
1932228665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 704
- Practice address
- 105 Halton Village Cir
Suite B
Greenville, SC 29607-6833 - Phone
- (864) 335-0505
- Fax
- (864) 335-0508
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 704 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 4271 | SC |
Addresses
Primary practice location
105 Halton Village Cir
Suite B
Greenville, SC 29607-6833
Mailing address
105 Halton Village Cir
Suite B
Greenville, SC 29607-6833
Phone (864) 335-0505
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 |
|---|---|---|---|
| 4271 | SC | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1932228665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 HALTON VILLAGE CIR",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076833",
"telephone_number": "864-335-0505",
"fax_number": "864-335-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 HALTON VILLAGE CIR",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076833",
"telephone_number": "864-335-0505",
"fax_number": "864-335-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "RUSH-BAKER",
"middle_name": "GAINES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "704",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4271",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.