DR. CRATISA LATWANN CALDWELL


Address: 8151 E 21st St, Indianapolis, IN 46219
Phone: 3173538505

DR. CRATISA LATWANN CALDWELL (NPI# 1881906634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881906634
Entity Type Individual
Full Name DR. CRATISA LATWANN CALDWELL
Credential DDS
Practice Address 8151 E 21st St
Indianapolis
IN 46219
Mailing Address 3952 N Park Ave
Indianapolis
IN 46205-2714
Practice Telephone 3173538505
Mailing Telephone 3179560551
Enumeration Date 2010-07-09
Last Update Date 2018-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223D0001X Dentist
Specialization: Dental Public Health
6088 LA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
12011470A IN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1940801 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1514 Doctors Dr, Bossier City, LA 711113379 3185492500
1602 Barksdale Blvd, Bossier City, LA 711114604 3179560551
710 Chisum St, Sicily Island, LA 71368 3183899941 3183899943

Office Location

Street Address 8151 E 21ST ST
City INDIANAPOLIS
State IN
Zip Code 46219

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NPI Name Taxonomy Address Enumeration
1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1073151239 Tanicka Elizabeth Word Behavior Technician 6635 E 21st Street, West Building, Indianapolis, IN 46219 2019-12-18
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1336645985 Lynell Westbrook Gates Counselor 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 2018-04-03
1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
1467811570 Fresenius Medical Care Indiana, LLC Clinic/Center 6701 E 21st St, Indianapolis, IN 46219 2016-02-17
1992197289 Casey Baker Physician Assistant 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 2015-02-24
1811398407 Adam Romesser Pharmacist 8907 E. 10th St., Indianapolis, IN 46219 2014-09-15
1225448673 Justin Stauffer Pharmacist 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 2014-05-06
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770194698 Dental Professionals of In, P.C. Dentist 8570 Northwest Blvd, Indianapolis, IN 46278-1383 2020-08-13
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1932766508 Brooke Nichole Scott Dentist 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 2019-05-20
1851875546 Andrew David Power Dentist 5869 Lawton Loop East Drive, Indianapolis, IN 46216 2018-09-19
1639652126 Gh Dental Dentist 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 2018-09-11
1326533068 Bryce Ashton Chambers Dentist 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 2018-06-26
1932694528 Mfdc of Indiana, Inc Dentist 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 2018-06-26
1306331905 Mfdc of Indiana, Inc Dentist 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 2018-06-26
1376037853 Decatur Family Dentistry LLC Dentist 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 2018-06-19
1215420252 Wesley Kenn Burcham Dentist 1481 W 10th St # 160, Indianapolis, IN 46202 2018-06-13
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Competitor

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City INDIANAPOLIS
Zip Code 46219

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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