NPIMap

Organization Active NPI

Cait Care Providers PLLC

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1114685708
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAIT CARE PROVIDERS PLLC
Practice address
600 E Rosedale St Ste 125
Fort Worth, TX 76104-5175
Phone
(682) 207-3598
NPI assigned
Dec 1, 2021
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Nicholas Cain
Title
Representative
Phone
(405) 650-1413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

600 E Rosedale St Ste 125
Fort Worth, TX 76104-5175

Mailing address

600 E Rosedale St Ste 125
Fort Worth, TX 76104-5175
Phone (682) 207-3598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230000589 TX Part B Supplier - Clinic/Group Practice 7315338399 Receives reassigned benefits from 15 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1114685708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E ROSEDALE ST STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045175",
            "telephone_number": "682-207-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ROSEDALE ST STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045175",
            "telephone_number": "682-207-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIT CARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "405-650-1413"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.