Active NPI
Mark Powers Carroll, D.C.
- Chiropractor
- Naples, FL
National Provider Identifier
1124031547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4701
- Practice address
- 5390 Park Central CT
Naples, FL 34109-5923 - Phone
- (239) 598-9599
- Fax
- (239) 598-3072
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH4701 | FL | Primary |
Addresses
Primary practice location
5390 Park Central CT
Naples, FL 34109-5923
Mailing address
5390 Park Central CT
Naples, FL 34109-5923
Phone (239) 598-9599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4701 | FL | MD | Clinical Social Worker |
| CH4701 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124031547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5390 PARK CENTRAL CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341095923",
"telephone_number": "239-598-9599",
"fax_number": "239-598-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5390 PARK CENTRAL CT",
"city": "NAPLES",
"state": "FL",
"postal_code": "341095923",
"telephone_number": "239-598-9599",
"fax_number": "239-598-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "MARK",
"middle_name": "POWERS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.