Active NPI
David Carroll, DC
- Chiropractor
- Mount Pleasant, SC
National Provider Identifier
1124873799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5073
- Practice address
- 1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342 - Phone
- (843) 284-8410
- Fax
- (843) 606-2528
- NPI assigned
- Apr 18, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 5073 | SC | Primary |
Addresses
Primary practice location
1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342
Mailing address
1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342
Phone (843) 284-8410
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 |
|---|---|---|---|
| 5073 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1124873799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N HIGHWAY 17 UNIT H",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643342",
"telephone_number": "843-284-8410",
"fax_number": "843-606-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N HIGHWAY 17 UNIT H",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643342",
"telephone_number": "843-284-8410",
"fax_number": "843-606-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.