Individual provider Active NPI

Jeffrey David Carr, D.C.

  • Chiropractor
  • Monett, MO
National Provider Identifier
1184796567
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006224 Issued in MO
Practice address
709 E Cleveland Ave
Monett, MO 65708-1752
Phone
(417) 235-5555
Fax
(417) 235-3310
NPI assigned
Nov 14, 2006
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006224 MO Primary

Addresses

Primary practice location

709 E Cleveland Ave
Monett, MO 65708-1752

Mailing address

709 E Cleveland Ave
Monett, MO 65708-1752
Phone (417) 235-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000509 MO Practitioner - Chiropractic 4284635749 Practice locations: Monett, MO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

709 E Cleveland
Monett, MO 65708-1752

709 E Cleveland Ave
Monett, MO 65708-1752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006224MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weber/Carr Chiropractic, PC Chiropractor CurrentSince Jul 25, 2021 Accepting new patients

Locations

709 E Cleveland Ave
Monett, MO 65708
Phone (417) 235-5555

709 E Cleveland Ave
#D
Monett, MO 65708
Phone (417) 489-0338

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, 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1184796567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E CLEVELAND AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081752",
            "telephone_number": "417-235-5555",
            "fax_number": "417-235-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E CLEVELAND AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081752",
            "telephone_number": "417-235-5555",
            "fax_number": "417-235-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.