Individual provider Active NPI

Steven M Carlson, DC

  • Chiropractor
  • Joplin, MO
National Provider Identifier
1184620809
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MO 20306306 Issued in MO
Practice address
2318 E 32ND Street
Suite B
Joplin, MO 64804-0923
Phone
(417) 781-6300
Fax
(417) 781-5309
NPI assigned
Jun 27, 2005
Last updated
Jun 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MO 20306306 MO Primary

Addresses

Primary practice location

2318 E 32ND Street
Suite B
Joplin, MO 64804-0923

Mailing address

2318 E 32ND Street
Suite B
Joplin, MO 64804-0923
Phone (417) 781-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000202 MO Practitioner - Chiropractic 4385652650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlson Chiropractic Center PCGroup PAC ID 8820035504, 4 clinicians

Practice addresses (Care Compare)

2318 E 32ND St
Suite B
Joplin, MO 64804-4326
Phone (417) 781-6300

2318 E 32ND St B
Joplin, MO 64804-4326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MO 20306306MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Chiropractic Center PC Chiropractor PastSince Oct 1, 2007 Accepting new patients
McKenney Chiropractic Center PA Chiropractor PastSince Jan 2, 2006 Accepting new patients
McKenney Chiropractic Center PA Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1184620809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E 32ND STREET",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040923",
            "telephone_number": "417-781-6300",
            "fax_number": "417-781-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E 32ND STREET",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040923",
            "telephone_number": "417-781-6300",
            "fax_number": "417-781-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "MO 20306306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.