NPIMap

Individual provider Active NPI

Lance R. Chaldecott, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wyandotte, MI
National Provider Identifier
1669443552
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301061724 Issued in MI
Practice address
2070 Biddle Ave
Suite 200
Wyandotte, MI 48192-4080
Phone
(734) 225-9100
Fax
(734) 225-9100
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4301061724 MI
Orthopaedic Trauma Physician 207XX0801X 4301061724 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X 4301061724 MI Primary

Addresses

Primary practice location

2070 Biddle Ave
Suite 200
Wyandotte, MI 48192-4080

Mailing address

1640 Fort St
Suite D Attn Denise
Trenton, MI 48183-2040
Phone (734) 391-3057

Other identifiers 3

IdentifierTypeStateIssuer
1699102244OtherMIGROUP NPI HENRY FORD WYANDOTTE
0H28427OtherMIBLUE CROSS
104481368MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000419 MI Practitioner - Orthopedic Surgery 1052476033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Wyandotte Hospital 194 clinicians

Practice addresses (Care Compare)

2070 Biddle Ave
Suite 200
Wyandotte, MI 48192-4080
Phone (734) 225-9112

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion125
Laminectomy or laminotomy (partial removal of spine bones)49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henr Y Ford Health System Orthopaedic Surgery CurrentSince Jan 5, 2020 Accepting new patients
Henry Ford Health System CurrentSince Jan 5, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Wyandotte Hospital Orthopaedic Surgery CurrentSince Dec 1, 2013 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Dec 1, 2013 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Associated Orthopedists of Detroit PC Orthopaedic Surgery Past Accepting new patients
Spine Surgery, PSC Orthopaedic Surgery of the Spine Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

50505 Schoenherr Rd
Ste 120
Shelby Township, MI 48315
Phone (586) 412-1411

1640 Fort St
Ste D
Trenton, MI 48183
Phone (734) 391-3057

2070 Biddle Ave
Ste 200
Wyandotte, MI 48192
Phone (734) 225-9100

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2070 Biddle Ave
Wyandotte, MI 48192
Phone (734) 225-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lchaldecott15738@direct.hfhs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1669443552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 FORT ST",
            "address_2": "SUITE D ATTN DENISE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832040",
            "telephone_number": "734-391-3057",
            "fax_number": "734-391-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BIDDLE AVE",
            "address_2": "SUITE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924080",
            "telephone_number": "734-225-9100",
            "fax_number": "734-225-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALDECOTT",
        "first_name": "LANCE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "4301061724",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MI",
            "license": "4301061724",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301061724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI HENRY FORD WYANDOTTE",
            "identifier": "1699102244",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0H28427",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104481368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.