Organization Active NPI

Tina a. Carter, D.C., Inc.

  • Chiropractor
  • Murray, KY
National Provider Identifier
1073703435
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4240 Issued in KY
Legal business name
TINA A. CARTER, D.C., INC.
Practice address
400 Industrial Rd
Murray, KY 42071-2104
Phone
(270) 753-1361
Fax
(270) 753-1369
NPI assigned
Jul 31, 2007
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Tina A Carter, D.C.NPI 1487624300
Title
President/Owner
Phone
(270) 753-1361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4240 KY Primary

Addresses

Primary practice location

400 Industrial Rd
Murray, KY 42071-2104

Mailing address

400 Industrial Rd
Murray, KY 42071-2104
Phone (270) 753-1361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000601 KY Part B Supplier - Clinic/Group Practice 3476644162 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, KY

National Provider Directory

National Provider Directory

Locations

604 S 12th St
#A
Murray, KY 42071
Phone (270) 753-1361

631 S 4th St
Murray, KY 42071
Phone (270) 753-1361

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1073703435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDUSTRIAL RD",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712104",
            "telephone_number": "270-753-1361",
            "fax_number": "270-753-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDUSTRIAL RD",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712104",
            "telephone_number": "270-753-1361",
            "fax_number": "270-753-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA A. CARTER, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "270-753-1361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.