Caddell Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22825 Issued in TX

Legal business name

CADDELL FAMILY DENTISTRY, PLLC

Doing business as

Cliff Dental Clinic

Practice address

501 Cliff Dr
Graham, TX 76450-3327

Phone

(940) 549-6092

Fax

(940) 549-3970

NPI assigned

Apr 24, 2012

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Travis Glenn Caddell, D.D.S.

Title

Owner/Dentist

Phone

(940) 549-6092

Specialties & licenses 2

Addresses

Other names 1

• Cliff Dental Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas L. Tate, D.D.S.

  • General Practice Dentistry
  • Graham, TX
  • NPI 1689682767
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1992063218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CLIFF DR",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503327",
            "telephone_number": "940-549-6092",
            "fax_number": "940-549-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLIFF DR",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503327",
            "telephone_number": "940-549-6092",
            "fax_number": "940-549-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDELL FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-549-6092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22825",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cliff Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian K Hill DDS PLLC (Lake CountryDental Center)
• Beryl Ann Brigham, ACNP-BC
• Josey Brown, PT, DPT
• Kari Lynn Bullard, NP-C
• C Ryan Easterling MD PA
• Cardiosom, LLC (CardioSom of Graham)
• Michael Castillo, MD
• Dora Elisa Cawley, M.D.
• Central Physical Therapy and Rehabilitation Inc
• Complete Speech, PLLC (ACE Therapy)

• General Practice Dentistry in Graham, TX
• Providers in Graham, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.