Colby Deem Caltrider, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11232 Issued in FL

Practice address

309 Kingsley Lake Dr Ste 901
St Augustine, FL 32092-3048

Phone

(904) 999-8343

Fax

(904) 325-9049

NPI assigned

Jun 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Healthcare Solutions, Inc

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville Beach, FL
  • NPI 1427383215

  Chiropractor, FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1588046262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 SOUTHSIDE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161923",
            "telephone_number": "904-725-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR STE 901",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923048",
            "telephone_number": "904-999-8343",
            "fax_number": "904-325-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTRIDER",
        "first_name": "COLBY",
        "middle_name": "DEEM",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11232",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Caggiano
• Kendra R. Cagniart, MD
• Nicholas Calabro, DPT
• Jodie April Calain, D.O.
• Caleb Bunting LLC
• Toshami Calvin
• Daniel Calvo, OTD OTRL
• Cameron Stewart, D.C., LLC
• Katherine Marie Cammack, SZ
• Victoria Jean Camp, DPM, PA

• All providers in St Augustine, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.