Active NPI
Calvin Reid Cordes, DC
- Chiropractor
- Pleasant Hill, CA
National Provider Identifier
1982618708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24878
- Practice address
- 101 Gregory LN Ste 49
Pleasant Hill, CA 94523 - Phone
- (925) 685-4369
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24878 | CA | Primary |
Addresses
Primary practice location
101 Gregory LN Ste 49
Pleasant Hill, CA 94523
Mailing address
101 Gregory LN Ste 49
Pleasant Hill, CA 94523-4924
Phone (925) 685-4369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111119000016 | CA | Practitioner - Chiropractic | 9537333059 | Practice locations: Pleasant Hill, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Gregory LN
Suite 49
Pleasant Hill, CA 94523-4924
Phone (925) 685-4369
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24878 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1982618708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GREGORY LN STE 49",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234924",
"telephone_number": "925-685-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GREGORY LN STE 49",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "94523",
"telephone_number": "925-685-4369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDES",
"first_name": "CALVIN",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.