NPIMap

Organization Active NPI

Colin R Caddell DC PA

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1922104090
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1151 Issued in NC
Legal business name
COLIN R CADDELL DC PA
Practice address
3608 W Friendly Ave
Ste 204
Greensboro, NC 27410-4865
Phone
(336) 294-1273
Fax
(336) 294-1274
NPI assigned
Sep 16, 2006
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Colin R Caddell, DCNPI 1508841750
Title
President
Phone
(336) 294-1273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1151 NC Primary

Addresses

Primary practice location

3608 W Friendly Ave
Ste 204
Greensboro, NC 27410-4865

Mailing address

3608 W Friendly Ave
Ste 204
Greensboro, NC 27410-4865
Phone (336) 294-1273

National Provider Directory

National Provider Directory

Locations

3608 W Friendly Ave
Ste 204
Greensboro, NC 27410
Phone (336) 294-1273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1922104090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 W FRIENDLY AVE",
            "address_2": "STE 204",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104865",
            "telephone_number": "336-294-1273",
            "fax_number": "336-294-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 W FRIENDLY AVE",
            "address_2": "STE 204",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104865",
            "telephone_number": "336-294-1273",
            "fax_number": "336-294-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN R CADDELL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-294-1273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.