Individual provider Active NPI

David G Carr, D.C.

  • Chiropractor
  • Boyertown, PA
National Provider Identifier
1114347341
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010872 Issued in PA
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.

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 IDStateProvider typePAC IDDetails
I20161111000333 PA Practitioner - Chiropractic 4183903321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012510NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carr Chiropractic and Wellness, LLC Chiropractor CurrentSince Oct 3, 2016 Accepting new patients

Locations

33 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 983-8066

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

{
    "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.

Verify at the official NPI Registry.