Gregory T. Caldwell, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19992 Issued in MA

Practice address

35 Bedford St
Suite 19
Lexington, MA 02420-4320

Phone

(781) 861-8855

Fax

(781) 861-1994

NPI assigned

Oct 21, 2005

Last updated

Jun 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Tufts University School of Dental Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord and Lexington Oral Surgery Associates LLCGroup PAC ID 2961402912, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concord and Lexington Oral Surgery Associates, LLC

  • Specialist
  • Concord, MA
  • NPI 1801820824
  Medicare reassignment Care Compare group Authorized official
• Concord & Lexington Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, MA
  • NPI 1801960893
  NPD

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1992795926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST",
            "address_2": "SUITE 19",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204320",
            "telephone_number": "781-861-8855",
            "fax_number": "781-861-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEDFORD ST",
            "address_2": "SUITE 19",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204320",
            "telephone_number": "781-861-8855",
            "fax_number": "781-861-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "GREGORY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "19992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Byrne, CCC-SLP
• Midgi Cadet
• Brenton Caesar-Allen
• Diane Caissie
• Veronica Araselis Calderon, PMHNP
• Maura Callahan, LMHC
• Caitrin Caloia, LICSW
• Stephen Camelio, R.PH
• Morgan Camelo
• Moselle Campbell

• Oral and Maxillofacial Surgery (Dentist) in Lexington, MA
• Providers in Lexington, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.