Individual provider Active NPI

Sheri Darlene Carpenter, DC

  • Chiropractor
  • Three Rivers, MI
National Provider Identifier
1033175476
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009125 Issued in MI
Practice address
72 N Main St
Three Rivers, MI 49093-1532
Phone
(269) 491-6861
Fax
(269) 762-6700
NPI assigned
Apr 25, 2006
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009125 MI Primary

Addresses

Primary practice location

72 N Main St
Three Rivers, MI 49093-1532

Mailing address

72 N Main St
Three Rivers, MI 49093-1532
Phone (269) 491-6861

Other identifiers 2

IdentifierTypeStateIssuer
950C912910OtherMIBLUE CROSS BLUE SHIELD
4863020MedicaidMI

Other names 1

  • Sheri Darlene Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000223 MI Practitioner - Chiropractic 8729098637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

72 N Main St
Three Rivers, MI 49093-1532
Phone (269) 491-6861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Michigan Chiropractic, Inc, Chiropractor CurrentSince Feb 27, 2012 Accepting new patients
Norris Chiropractic Center PC Chiropractor Past Accepting new patients
Abies Chiropractic Clinic Inc Chiropractor Past Accepting new patients

Locations

6749 S Westnedge Ave
Portage, MI 49002
Phone (269) 324-3131

6749 S Westnedge Ave
Ste B
Portage, MI 49002
Phone (269) 324-3131

72 N Main St
Three Rivers, MI 49093
Phone (269) 324-3131

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1033175476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931532",
            "telephone_number": "269-491-6861",
            "fax_number": "269-762-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931532",
            "telephone_number": "269-491-6861",
            "fax_number": "269-762-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SHERI",
        "middle_name": "DARLENE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950C912910",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4863020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "MILLER",
            "middle_name": "DARLENE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.