Christopher C Caudell, DC
Individual provider Active NPI Chiropractor · Dearborn HTS, MI
NPI 1376711564 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1376711564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301006053 (MI)
- Practice address
- 5928 N Telegraph Rd
Dearborn HTS, MI 48127-3221 - Phone
- (313) 563-0530
- Fax
- (313) 563-1430
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caudell Chiropractic Clinic
Practice addresses (Care Compare)
5928 N Telegraph Rd
Dearborn Heights, MI 48127-3221
Phone (313) 563-0530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318002636 | MI | Practitioner - Chiropractic | 5395062970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caudell Chiropractic Clinic | Chiropractor | Current |
Accepting new patients |
Locations
5928 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 563-0530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301006053 | MI | Yes |
Addresses
Primary practice location
5928 N Telegraph Rd
Dearborn HTS, MI 48127-3221
Mailing address
5928 N Telegraph Rd
Dearborn HTS, MI 48127-3221
Phone (313) 563-0530
Other providers in Dearborn HTS, MI
- Better Life Residential Care Inc
- Zeinab Beydoun
- Bio Medical Supplies LLC
- Irving Blau
- Body in Motion LLC
- Sarojini H Desai
- Dr Beydoun and Associates, Inc
- Elan Vitale Healthy Living Solutions
- Fatima Services Inc.
- First Choice Urgent Care PC
All providers in Dearborn HTS, MI · Chiropractor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.