Active NPI
Matthew Jess Caldwell, DC
- Chiropractor
- St Louis Park, MN
National Provider Identifier
1073789400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5094
- Practice address
- 5801 Cedar Lake Rd S
St Louis Park, MN 55416-1481 - Phone
- (952) 542-3908
- Fax
- (952) 417-2486
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5094 | MN | Primary |
Addresses
Primary practice location
5801 Cedar Lake Rd S
St Louis Park, MN 55416-1481
Mailing address
5801 Cedar Lake Rd
St Louis Park, MN 55416-1481
Phone (952) 542-3908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5094 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schroeder Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
| Essence Chiropractic & Health PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- New Brighton, MN
- NPI 1225320088
-
- Chiropractor
- St Louis Park, MN
- NPI 1578714226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1073789400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 CEDAR LAKE RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161481",
"telephone_number": "952-542-3908",
"fax_number": "952-417-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 CEDAR LAKE RD S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161481",
"telephone_number": "952-542-3908",
"fax_number": "952-417-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "MATTHEW",
"middle_name": "JESS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.