NPIMap

Organization Active NPI

T. Daniel Caddell

Doing business as T. Daniel Caddell MD,PA

  • Family Medicine Physician
  • Travelers Rest, SC
National Provider Identifier
1508002734
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12475 Issued in SC
Legal business name
T. DANIEL CADDELL
Doing business as
T. Daniel Caddell MD,PA
Practice address
907 N Main St
PO Office Box 1054
Travelers Rest, SC 29690-1054
Phone
(864) 834-4191
Fax
(864) 834-1964
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Titus Daniel Caddell, MDNPI 1144233735
Title
Doctor
Phone
(864) 841-4191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 12475 SC Primary

Addresses

Primary practice location

907 N Main St
PO Office Box 1054
Travelers Rest, SC 29690-1054

Mailing address

PO Office Box 1054
907 N Main St
Travelers Rest, SC 29690-1054
Phone (864) 834-4191

Other names 1

  • T. Daniel Caddell MD,PA Doing business as

National Provider Directory

National Provider Directory

Locations

907 N Main St
Ofc Box
Travelers Rest, SC 29690
Phone (864) 834-4191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1508002734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO OFFICE BOX 1054",
            "address_2": "907 N MAIN ST",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901054",
            "telephone_number": "864-834-4191",
            "fax_number": "864-834-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN ST",
            "address_2": "PO OFFICE BOX 1054",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901054",
            "telephone_number": "864-834-4191",
            "fax_number": "864-834-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. DANIEL CADDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "TITUS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-841-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T. Daniel Caddell MD,PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.