Elizabeth Kroculick Carter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005850L Issued in PA

Practice address

682 Lancaster Ave
Berwyn, PA 19312-1673

Phone

(610) 251-9211

Fax

(610) 251-0228

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Chiropractic Center P C

  • Pediatric Chiropractor
  • Berwyn, PA
  • NPI 1750677308
  Authorized official Same address or phone

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1124270376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121673",
            "telephone_number": "610-251-9211",
            "fax_number": "610-251-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121673",
            "telephone_number": "610-251-9211",
            "fax_number": "610-251-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELIZABETH",
        "middle_name": "KROCULICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005850L",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC005850L",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "PA",
            "license": "DC005850L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Patricia Burns, MS CCC-SLP
• Shannon Burns, MS, BCBA
• Jennifer Campbell
• Allison Cappelli, MSOT
• Brittany McGowan Carr, LCSW
• Catherine Clare Casey, M.S. CCC-SLP
• Emma Antonia Chabolla, LSW
• Nicole Daniella Chaikin, PSY.D.
• Sarah Chaya, ATC
• Et-Tsu Chen, MD

• Chiropractor in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.