Individual provider Active NPI

Michael Alan Cadwallader, D.C

  • Chiropractor
  • Highlands Ranch, CO
National Provider Identifier
1104093269
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5653 Issued in CO
Practice address
2030 E County Line Rd
Unit U
Highlands Ranch, CO 80126-2431
Phone
(303) 738-3500
Fax
(303) 738-3600
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5653 CO Primary

Addresses

Primary practice location

2030 E County Line Rd
Unit U
Highlands Ranch, CO 80126-2431

Mailing address

2030 E County Line Rd
Unit U
Highlands Ranch, CO 80126-2431
Phone (303) 738-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001065 GA Practitioner - Chiropractic 3779023320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zellweger Family ChiropracticGroup PAC ID 9234405044, 4 clinicians

Practice addresses (Care Compare)

461 Johnny Mercer Blvd
Suite C3
Savannah, GA 31410-2221
Phone (843) 706-2378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5653COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zellweger Family Chiropractic Chiropractor CurrentSince Jul 29, 2024 Accepting new patients
Zellweger Family Chiropractic Chiropractor Past Accepting new patients
Islands Chiropractic Clinic PC Chiropractor PastSince Jul 29, 2024 Accepting new patients

Locations

10747 Ford Ave
Ste 5
Richmond Hill, GA 31324
Phone (912) 756-3004

461 Johnny Mercer Blvd
Savannah, GA 31410
Phone (843) 706-2378

461 Johnny Mercer Blvd
Ste C3
Savannah, GA 31410
Phone (843) 706-2378

1 Mallett Way
Ste 102
Bluffton, SC 29910
Phone (843) 706-2378

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1104093269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E COUNTY LINE RD",
            "address_2": "UNIT U",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262431",
            "telephone_number": "303-738-3500",
            "fax_number": "303-738-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E COUNTY LINE RD",
            "address_2": "UNIT U",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262431",
            "telephone_number": "303-738-3500",
            "fax_number": "303-738-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.