Jacob Riley Calder

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2179 Issued in CT

Practice address

113 Saybrook Rd
Middletown, CT 06457-4781

Phone

(860) 806-1350

NPI assigned

Jan 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Forest City Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Middletown, CT
  • NPI 1366140600
  Medicare reassignment NPD Authorized official
• Shoreline Chiropractic Center, LLC

  • Chiropractor
  • Madison, CT
  • NPI 1003178179
  Medicare reassignment NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1194365239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574781",
            "telephone_number": "860-806-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDER",
        "first_name": "JACOB",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Arthur Byrom Jr.
• Lawrence J. Byron, LCSW
• Nicola Calabrese, APRN
• Anne Calamari, LCSW
• Amy Calandruccio, LAC
• Maureen Dempsey Caldwell, BCABA
• Maria E. Cale, APRN
• Kelci Calhoun
• Kathleen Callaghan, CCC-SLP
• Called to Freedom Clinical Services

• Chiropractor in Middletown, CT
• Providers in Middletown, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.