Organization Active NPI

Carter Chiropractic LLC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1083863641
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000 Issued in SC
Legal business name
CARTER CHIROPRACTIC LLC
Practice address
500 Mills Ave
Ste E
Greenville, SC 29605-4280
Phone
(864) 233-3364
Fax
(864) 233-3464
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Robert Anderson Carter, D.C.NPI 1376519108
Title
Sole Member
Phone
(864) 233-3364

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2000 SC Primary

Addresses

Primary practice location

500 Mills Ave
Ste E
Greenville, SC 29605-4280

Mailing address

500 Mills Ave
Ste E
Greenville, SC 29605-4280
Phone (864) 233-3364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000778 SC Part B Supplier - Clinic/Group Practice 9436217676 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

500 Mills Ave
Ste E
Greenville, SC 29605
Phone (864) 233-3364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1083863641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILLS AVE",
            "address_2": "STE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054280",
            "telephone_number": "864-233-3364",
            "fax_number": "864-233-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILLS AVE",
            "address_2": "STE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054280",
            "telephone_number": "864-233-3364",
            "fax_number": "864-233-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-233-3364",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.