Individual provider Active NPI

Cynthia Ellen Caldarella, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1144372830
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006148 Issued in IL
Practice address
1731 N Marcey St
Suite 530
Chicago, IL 60614-5373
Phone
(312) 852-7850
Fax
(312) 787-7853
NPI assigned
Jan 16, 2007
Last updated
Sep 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 038-006148 IL Primary

Addresses

Primary practice location

1731 N Marcey St
Suite 530
Chicago, IL 60614-5373

Mailing address

122 S Michigan Ave
Suite 1560
Chicago, IL 60603-6191
Phone (312) 939-4121

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038-006148ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal Clinic SC Past Accepting new patients
Millenium Park Medical Center, SC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1144372830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE",
            "address_2": "SUITE 1560",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036191",
            "telephone_number": "312-939-4121",
            "fax_number": "312-939-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST",
            "address_2": "SUITE 530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145373",
            "telephone_number": "312-852-7850",
            "fax_number": "312-787-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDARELLA",
        "first_name": "CYNTHIA",
        "middle_name": "ELLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.