Individual provider Active NPI

William D. Carter, D.C.

  • Chiropractor
  • Buffalo, MN
National Provider Identifier
1013044619
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4437 Issued in MN
Practice address
1303 1St St NE Ste 100
Buffalo, MN 55313-2167
Phone
(763) 682-4000
NPI assigned
Feb 28, 2007
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11244 TX
Chiropractor 111N00000X 4437 MN Primary

Addresses

Primary practice location

1303 1St St NE Ste 100
Buffalo, MN 55313-2167

Mailing address

1303 1St St NE Ste 100
Buffalo, MN 55313-2167
Phone (763) 682-4000

Other identifiers 5

IdentifierTypeStateIssuer
692924OtherMNACN GROUP
372R9CAOtherMNBLUE CROSS BLUE SHIELD
163075000MedicaidMN
4496342OtherMNMEDICA
CC1098AOtherMNCHIRO CARE OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040424000207 MN Practitioner - Chiropractic 7315933280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 1St St NE
Suite 100
Buffalo, MN 55313-2167
Phone (763) 682-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11244TXMDAddiction (Substance Use Disorder) Counselor
4437MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marty Chiropractic Healing Center, P.a. Chiropractor CurrentSince Jul 20, 2015 Accepting new patients

Locations

101 Marty Dr
Buffalo, MN 55313
Phone (612) 682-9433

1303 1st St NE
Ste 100
Buffalo, MN 55313
Phone (763) 682-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1013044619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 1ST ST NE STE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132167",
            "telephone_number": "763-682-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 1ST ST NE STE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132167",
            "telephone_number": "763-682-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11244",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "692924",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "372R9CA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163075000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4496342",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO CARE OF MN",
            "identifier": "CC1098A",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.

Verify at the official NPI Registry.