Comfort Chiropractic, PA
Organization Active NPI Chiropractor · Comfort, TX
NPI 1003018441 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1003018441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- COMFORT CHIROPRACTIC, PA
- Practice address
- 212 US Highway 87
Comfort, TX 78013-3705 - Phone
- (830) 995-3887
- Fax
- (830) 995-3393
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kerri Marie Carpenter, DC
- Title
- President
- Phone
- (830) 995-3887
Practitioners 3
-
Kerri M Carpenter, D.C.
-
Lance D Moore, D.C.
-
Chad A Carpenter, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000905 | TX | Part B Supplier - Clinic/Group Practice | 5991788549 |
Receives reassigned benefits from 3 practitioners Practice locations: Comfort, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | TX | Yes |
Addresses
Primary practice location
212 US Highway 87
Comfort, TX 78013-3705
Mailing address
PO Box 68
Comfort, TX 78013-0068
Phone (830) 995-3887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00607W | Other | TX | MEDICARE PTAN |
| 07GS | Other | TX | BLUE CROSS |
| DC3825 | Other | TX | RR MEDICARE PTAN |
Other names
- Comfort Chiropractic
Other providers in Comfort, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.