Individual provider Active NPI

Cynequa Caldwell, DC

  • Chiropractor
  • Sunnyvale, CA
National Provider Identifier
1265997506
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34405 Issued in CA
Practice address
1309 S Mary Ave Ste 208
Sunnyvale, CA 94087
Phone
(408) 463-8830
NPI assigned
Jan 31, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC34405 CA Primary

Addresses

Primary practice location

1309 S Mary Ave Ste 208
Sunnyvale, CA 94087

Mailing address

1309 S Mary Ave Ste 208
Sunnyvale, CA 94087-3060
Phone (408) 463-8830

Other practice location 1

3585 Monroe Street
Suite 159
Santa Clara, CA 95051
Phone (408) 463-8830

Other identifiers 1

IdentifierTypeStateIssuer
DC34405OtherCASTATE ISSUED

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

State licenses

LicenseStateTypeSpecialty
34405CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Wholistic & Chiropractic Inc Chiropractor CurrentSince Feb 29, 2020 Accepting new patients

Locations

4675 Stevens Creek Blvd
Ste 215
Santa Clara, CA 95051
Phone (408) 248-7960

1309 S Mary Ave
Ste 208
Sunnyvale, CA 94087
Phone (408) 209-4933

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1265997506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE STE 208",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873060",
            "telephone_number": "408-463-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE STE 208",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-463-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 Monroe Street",
            "address_2": "Suite 159",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "95051",
            "country_code": "US",
            "telephone_number": "408-463-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CYNEQUA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED",
            "identifier": "DC34405",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.