Active NPI
Alan Cadiz, D.O.
- Pediatrics Physician
- Coral Springs, FL
National Provider Identifier
1235287731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS10683
- Practice address
- 9750 NW 33Rd St
Suite 101
Coral Springs, FL 33065-4042 - Phone
- (954) 752-9220
- Fax
- (954) 755-5025
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | UO1487 | FL | |
| Pediatrics Physician | 208000000X | OS10683 | FL | Primary |
Addresses
Primary practice location
9750 NW 33Rd St
Suite 101
Coral Springs, FL 33065-4042
Mailing address
9750 NW 33Rd St
Suite 101
Coral Springs, FL 33065-4042
Phone (954) 752-9220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162617760A | Medicaid | GA | |
| 0014451-00 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10683 | FL | MD | Pediatrics Physician |
| UO1487 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1235287731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 NW 33RD ST",
"address_2": "SUITE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654042",
"telephone_number": "954-752-9220",
"fax_number": "954-755-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 NW 33RD ST",
"address_2": "SUITE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654042",
"telephone_number": "954-752-9220",
"fax_number": "954-755-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADIZ",
"first_name": "ALAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "UO1487",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS10683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162617760A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014451-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.