CAITLIN GIFFORD FULK DMD
NPI 1215660717
Dentist - Pediatric Dentistry in Salem, OR

Q: What is Caitlin Fulk's NPI number?

The NPI number for Caitlin Fulk is 1215660717. It was assigned to this individual provider in the NPPES registry on July 3, 2022.

Q: What is Caitlin Fulk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Fulk was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2022PECOS Enrolled

1049 EDGEWATER ST NW STE 100, SALEM, OR 97304(503) 820-4516 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2026, Jul 13, 2024 (2 updates tracked since 2024).

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About Caitlin Gifford Fulk Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLIN GIFFORD FULK DMD (NPI 1215660717) is an individual pediatric dentistry provider in Salem, Oregon, licensed in Oregon (D12272) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215660717

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameCAITLIN GIFFORD FULKCredential: DMD

Location Address1049 EDGEWATER ST NW STE 100Salem, OR 97304-4046

Mailing Address6209 Mackenzie Valley CtSaint Louis, MO 63123-3476 · (336) 414-7186

Phone(503) 820-4516

Sole ProprietorYes

Enumeration DateJuly 3, 2022

Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1215660717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in OR · D12272✔ Licensed in VA · 041418851

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2022024401 (MO)

1049 EDGEWATER ST NW STE 100, Salem, OR 97304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlin Gifford Fulk Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILIA YU DDS

Dentist (Pediatric Dentistry)

1049 EDGEWATER ST NW STE 100
SALEM, OR 97304

Polk County (503) 820-4516

DR. YESCENIA PEREZ CACCIATORE DMD

Dentist (Pediatric Dentistry)

1049 EDGEWATER ST NW STE 100
SALEM, OR 97304

Polk County (503) 820-4516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlin Fulk's NPI number?

The NPI number for Caitlin Fulk is 1215660717. It was assigned to this individual provider in the NPPES registry on July 3, 2022.

Where is Caitlin Fulk located?

Caitlin Fulk practices at 1049 Edgewater St NW Ste 100, Salem, OR 97304. The listed phone number is (503) 820-4516.

What is Caitlin Fulk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Caitlin Fulk enrolled in Medicare?

Yes. Caitlin Fulk is registered in the Medicare PECOS enrollment system.

What insurance does Caitlin Fulk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Caitlin Fulk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caitlin Fulk was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.