Robert L Cadwallader, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4350-012 Issued in WI

Practice address

1777 W Main St Ste 107
Sun Prairie, WI 53590-3100

Phone

(608) 318-2410

Fax

(608) 318-2412

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Health Chiropractic LLCGroup PAC ID 4284701335, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Pro Health Chiropractic LLC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1669630562
  Medicare reassignment Care Compare group NPD
• Back to Health Plus, PLLC

  • Chiropractor
  • Deforest, WI
  • NPI 1063406379
  NPD (past)
• Noble Choice Chiropractic LLC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1154752954
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093709305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410",
            "fax_number": "608-318-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410",
            "fax_number": "608-318-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Montana Ave",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535901617",
            "country_code": "US",
            "telephone_number": "608-318-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Montana Ave",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535901617",
            "country_code": "US",
            "telephone_number": "608-318-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4350-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350050501",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "3150790",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679068",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Butenhoff
• Maxwell Sumkin Butler, MD
• Janet A Buzzell, R.N.
• By by Transportation
• Ann M Byrne, NP,APNP
• Habibou Camara
• Benjamin Campbell, D.D.S.
• Elizabeth Canfield, MA, LPC
• Caring Made Easy Home Care LLC
• Kristin Carlson, PHARMD

• Chiropractor in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.