NPIMap

Organization Active NPI

Jon W Caldwell, DMD, PLLC

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1962340075
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JON W CALDWELL, DMD, PLLC
Practice address
115 Pelly Ave N
Renton, WA 98057-5714
Phone
(425) 226-3192
Fax
(425) 226-9848
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Jon Caldwell, DMDNPI 1457693178
Title
Owner
Phone
(206) 399-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

115 Pelly Ave N
Renton, WA 98057-5714

Mailing address

115 Pelly Ave N
Renton, WA 98057-5714
Phone (425) 226-3192

National Provider Directory

National Provider Directory

Locations

115 Pelly Ave N
Renton, WA 98057
Phone (425) 226-3192

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1962340075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575714",
            "telephone_number": "425-226-3192",
            "fax_number": "425-226-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575714",
            "telephone_number": "425-226-3192",
            "fax_number": "425-226-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON W CALDWELL, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-399-1166",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.