Individual provider Active NPI

David M Caldwell, DDS

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1962584029
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12803 Issued in TX
Practice address
2955 Harrison St Ste 103
Beaumont, TX 77702-1155
Phone
(409) 923-1602
Fax
(409) 923-1603
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
12803TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell & Singh, PLLC PastSince Mar 1, 2020 Accepting new patients

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12803 TX Primary

Addresses

Primary practice location

2955 Harrison St Ste 103
Beaumont, TX 77702-1155

Mailing address

2955 Harrison St Ste 103
Beaumont, TX 77702-1155
Phone (409) 923-1602

Other identifiers 1

IdentifierTypeStateIssuer
111308603MedicaidTX

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1962584029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST STE 103",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021155",
            "telephone_number": "409-923-1602",
            "fax_number": "409-923-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST STE 103",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021155",
            "telephone_number": "409-923-1602",
            "fax_number": "409-923-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111308603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.