Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730177981 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Merlin Caldwell , DDS

Dentist - General Practice • Memphis, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Caldwell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2005
NPI Deactivation Date August 19, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Caldwell, DDS was a registered Dentist - General Practice practicing in Memphis, TN. Throughout an active medical career spanning 16 years, Dr. Caldwell provided care at the practice location at 3912 ELVIS PRESLEY BLVD until profile deactivation on 2021-08-19.

Practice Location & Contact Primary Location

Practice Address

3912 Elvis Presley Blvd

Memphis, TN 381165628

Telephone 9013988216
Fax 9013986000
Associated Practice Facility / Clinic
🏢 Watkins Family Dentistry Facility NPI 1659234805

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 1628

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 19, 2021

Record deactivated on August 19, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3912 ELVIS PRESLEY BLVD, MEMPHIS, TN 381165628 (Tel: 9013988216)

📍
Updated Business Mailing Address July 09, 2007

Registered at 7816 WOOD GLEN CV, CORDOVA, TN 380165080 (Tel: 9017555371)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH CALDWELL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #1628 in TN)

🟢
Initial NPI Registration & Enumeration October 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kenneth Caldwell. Be the first to share your experience!

Sign in to leave a review for Dr. Kenneth Caldwell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1730177981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2005
Last Update: July 09, 2007
Deactivation Date: August 19, 2021

Mailing Address

7816 Wood Glen Cv

Cordova, TN 380165080

Phone: 9017555371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.