Individual provider Active NPI

Michael Peter Carnes, D.C.

  • Chiropractor
  • Miller Place, NY
National Provider Identifier
1033361688
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011590-1 Issued in NY
Practice address
595 Route 25a
Suite 2B
Miller Place, NY 11764-2648
Phone
(631) 849-1586
Fax
(631) 849-1587
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011590-1 NY Primary

Addresses

Primary practice location

595 Route 25a
Suite 2B
Miller Place, NY 11764-2648

Mailing address

595 Route 25a
Suite 2B
Miller Place, NY 11764-2648
Phone (631) 849-1586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000723 NY Practitioner - Chiropractic 5294979332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 Route 25a 2B
Miller Place, NY 11764-2648
Phone (631) 849-1586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011590NYMDMental Health Counselor
X011590-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Chiropractic, PLLC Chiropractor CurrentSince Mar 1, 2013 Accepting new patients

Locations

595 Route 25A
Ste 2B
Miller Place, NY 11764
Phone (631) 849-1586

595 Route 25A
Miller Place, NY 11764
Phone (631) 821-4202

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1033361688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "address_2": "SUITE 2B",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642648",
            "telephone_number": "631-849-1586",
            "fax_number": "631-849-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "address_2": "SUITE 2B",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642648",
            "telephone_number": "631-849-1586",
            "fax_number": "631-849-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011590-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.