NPIMap

Organization Active NPI

Caldwell Chiropractic Center, PC

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1871897124
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2867 Issued in CO
Legal business name
CALDWELL CHIROPRACTIC CENTER, PC
Practice address
4288 Youngfield St
Wheat Ridge, CO 80033-2436
Phone
(303) 274-4434
Fax
(303) 274-4441
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Shawn M Caldwell, DCNPI 1356479406
Title
Owner/Chiropractor
Phone
(303) 274-4434

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2867 CO Primary

Addresses

Primary practice location

4288 Youngfield St
Wheat Ridge, CO 80033-2436

Mailing address

4288 Youngfield St
Wheat Ridge, CO 80033-2436
Phone (303) 274-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110504000268 CO Part B Supplier - Clinic/Group Practice 4880794726 Receives reassigned benefits from 4 practitioners
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1871897124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332436",
            "telephone_number": "303-274-4434",
            "fax_number": "303-274-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4288 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332436",
            "telephone_number": "303-274-4434",
            "fax_number": "303-274-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "303-274-4434",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.