Active NPI
David G Carr, D.C.
- Chiropractor
- Boyertown, PA
National Provider Identifier
1114347341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010872
- Practice address
- 29 E Philadelphia Ave
Boyertown, PA 19512-1191 - Phone
- (610) 983-8066
- Fax
- (610) 466-5293
- NPI assigned
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Chiropractor
- Boyertown, PA
- NPI 1467900225
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 E Philadelphia Ave
Boyertown, PA 19512-1191
Phone (484) 653-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161111000333 | PA | Practitioner - Chiropractic | 4183903321 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012510 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carr Chiropractic and Wellness, LLC | Chiropractor | Current | Accepting new patients |
Locations
33 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 983-8066
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012510 | NY | |
| Chiropractor | 111N00000X | DC010872 | PA | Primary |
Addresses
Primary practice location
29 E Philadelphia Ave
Boyertown, PA 19512-1191
Mailing address
29 E Philadelphia Ave
Boyertown, PA 19512-1191
Phone (610) 983-8066
Other practice location 1
33 E Philadelphia Ave
Boyertown, PA 19512-1124
Phone (610) 983-8066
NPI Registry JSON
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1114347341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E PHILADELPHIA AVE",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195121191",
"telephone_number": "610-983-8066",
"fax_number": "610-466-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E PHILADELPHIA AVE",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195121191",
"telephone_number": "610-983-8066",
"fax_number": "610-466-5293"
}
],
"practiceLocations": [
{
"address_1": "33 E Philadelphia Ave",
"address_purpose": "LOCATION",
"city": "Boyertown",
"state": "PA",
"postal_code": "195121124",
"country_code": "US",
"telephone_number": "610-983-8066",
"fax_number": "610-466-5293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012510",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boyertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.