Active NPI
David M Caldwell, DDS
- General Practice Dentistry
- Beaumont, TX
National Provider Identifier
1962584029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12803
- 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.
-
- Dental Clinic/Center
- Beaumont, TX
- NPI 1063046472
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 |
|---|---|---|---|
| 12803 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell & Singh, PLLC | Past | Accepting new patients |
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111308603 | Medicaid | TX |
NPI Registry JSON
{
"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.