Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. CRAIG ROY KADDATZ
Active
Individual
DR. CRAIG ROY KADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2538
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851
HSM ID
MN
01
—
15097
MIDLANDS CHOICE ID
—
01
—
1DO74KA
BCBS INDIVIDUAL ID
MN
01
—
2038
DAKOTACARE ID
—
01
—
22124
SVHP ID
—
01
—
59873KA
BCBS GROUP ID
MN
05
—
602028300
—
MN
05
—
7603720
—
MN
Enumeration date
03/08/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers