Lacey Ranay Carder, DC
Individual provider Active NPI Chiropractor · El Reno, OK
NPI 1104197540 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1104197540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4056 (OK)
- Practice address
- 1008 S Rock Island Ave
El Reno, OK 73036-4757 - Phone
- (405) 262-0548
- NPI assigned
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1008 S Rock Island Ave
El Reno, OK 73036-4757
Phone (405) 262-0548
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130411000196 | OK | Practitioner - Chiropractic | 4981840204 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carder Chiropractic Clinic, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
1008 S Rock Island Ave
El Reno, OK 73036
Phone (405) 262-0548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4056 | OK | Yes |
Addresses
Primary practice location
1008 S Rock Island Ave
El Reno, OK 73036-4757
Mailing address
1008 S. Rock Island Ave.
El Reno, OK 73036-4757
Phone (405) 262-0548
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.