Kerri M Carpenter, D.C.

Individual provider Active NPI Orthopedic Chiropractor · Comfort, TX

NPI 1124196134 · NPPES record last updated Jun 22, 2016

Key facts

NPI
1124196134
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Chiropractor 111NX0800X
License
8027 (TX)
Practice address
212 Hwy 87
Comfort, TX 78013-3705
Phone
(830) 995-3887
Fax
(830) 995-3393
NPI assigned
Nov 30, 2006
Sex
Female
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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Chiropractic, PA (2 clinicians)

Practice addresses (Care Compare)

212 US Hwy 87
Comfort, TX 78013-3737
Phone (830) 995-3887

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040618000519 TX Practitioner - Chiropractic 0648266254 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8027TXMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Chiropractic, PA Current
since Feb 1, 2004
Accepting new patients

Locations

212 US Highway 87
Comfort, TX 78013
Phone (830) 995-3887

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 8027 TX Yes

Addresses

Primary practice location

212 Hwy 87
Comfort, TX 78013-3705

Mailing address

PO Box 68
Comfort, TX 78013-0068
Phone (830) 995-3887

Other identifiers

IdentifierTypeStateIssuer
P00933406OtherRR MEDICARE
8021OtherTXSTATE LICENSE

Other providers in Comfort, TX

All providers in Comfort, TX · Orthopedic Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.