Active NPI
Jimmy Louis Carpenter, D.C.
- Chiropractor
- Rising Star, TX
National Provider Identifier
1063580793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7268
- Practice address
- 512 W College
Rising Star, TX 76471-1008 - Phone
- (325) 597-1267
- NPI assigned
- Dec 1, 2006
- Last updated
- Mar 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7268 | TX | Primary |
Addresses
Primary practice location
512 W College
Rising Star, TX 76471-1008
Mailing address
512 W College
Box 1008
Rising Star, TX 76471-1008
Phone (325) 597-1267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605765 | Other | TX | BLUE CROSS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecan Valley Chiropractic & Rehab, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Early, TX
- NPI 1235416900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1063580793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W COLLEGE",
"address_2": "BOX 1008",
"city": "RISING STAR",
"state": "TX",
"postal_code": "764711008",
"telephone_number": "325-597-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 W COLLEGE",
"city": "RISING STAR",
"state": "TX",
"postal_code": "764711008",
"telephone_number": "325-597-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JIMMY",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "605765",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rising Star, TX
- Kelly A Barnett
- Krista Jean Behrens, MSCP, LPC
- Dennis Michael Brennan, PA-C
- Brownwood Hospital LP (One Source Health Center Rising Star)
- Comanche County Medical Center Company (Rising Star Rural Health Clinic)
- Comanche County Medical Center Company (Rising Star Pharmacy)
- Cross Plains Care Center, Inc (Rising Star Nursing Center)
- Heart of Texas Internal Medicine Associates, PA (One Source Health Center)
- McCulloch County Hospital District (Rising Star Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.