Organization Active NPI

Carter Chiropractic and Wellness L L C

  • Chiropractor
  • Naples, FL
National Provider Identifier
1093874968
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9228 Issued in FL
Legal business name
CARTER CHIROPRACTIC AND WELLNESS L L C
Practice address
1205 Piper Blvd
Suite 103
Naples, FL 34110-1387
Phone
(239) 784-8895
Fax
(888) 784-8895
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Authorized official

Name
Dr. Susan M. Carter, D.C.NPI 1275560526
Title
Owner
Phone
(239) 784-8895

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 CH9228 FL Primary

Addresses

Primary practice location

1205 Piper Blvd
Suite 103
Naples, FL 34110-1387

Mailing address

1205 Piper Blvd
Suite 103
Naples, FL 34110-1387
Phone (239) 784-8895

Other identifiers 1

IdentifierTypeStateIssuer
382134000MedicaidFL

Other names 1

  • Baby Boomer Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081206000020 FL Part B Supplier - Clinic/Group Practice 6204997422 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1205 Piper Blvd
Ste 103
Naples, FL 34110
Phone (239) 784-8895

2180 Immokalee Rd
Ste 206
Naples, FL 34110
Phone (239) 784-8895

Practitioners & affiliated clinicians

Practitioners 3

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": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317427200000",
    "number": "1093874968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PIPER BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101387",
            "telephone_number": "239-784-8895",
            "fax_number": "888-784-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PIPER BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101387",
            "telephone_number": "239-784-8895",
            "fax_number": "888-784-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER CHIROPRACTIC AND WELLNESS L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-10-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-784-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382134000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baby Boomer Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.