Active NPI
Douglas J Caron, DC
- Chiropractor
- Madison, SD
National Provider Identifier
1336118181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 667
- Practice address
- 120 NW 2ND St
Madison, SD 57042 - Phone
- (605) 256-2964
- Fax
- (605) 636-9154
- NPI assigned
- Mar 15, 2006
- Last updated
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 667 | SD | Primary |
| Chiropractor | 111N00000X | 2108 | MN |
Addresses
Primary practice location
120 NW 2ND St
Madison, SD 57042
Mailing address
120 NW 2ND St
Madison, SD 57042-2106
Phone (605) 256-2964
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23220 | Other | SD | SVHP SIOUX VALLEY HEALTH |
| 7602442 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091222000249 | SD | Practitioner - Chiropractic | 9537209630 | Practice locations: Madison, SD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 NW 2ND St
Madison, SD 57042-2106
Phone (605) 256-2964
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133 | SD | MD | General Practice Dentistry |
| 2108 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1336118181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NW 2ND ST",
"city": "MADISON",
"state": "SD",
"postal_code": "570422106",
"telephone_number": "605-256-2964",
"fax_number": "605-636-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NW 2ND ST",
"city": "MADISON",
"state": "SD",
"postal_code": "57042",
"telephone_number": "605-256-2964",
"fax_number": "605-636-9154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "667",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SVHP SIOUX VALLEY HEALTH",
"identifier": "23220",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7602442",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.