Nathan James Carpenter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007325L Issued in PA

Practice address

135 N Main St
Jersey Shore, PA 17740

Phone

(570) 398-4194

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205945870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "17740",
            "telephone_number": "570-398-4194",
            "fax_number": "570-398-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "17740",
            "telephone_number": "570-398-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007325L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CA976627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2298408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Becker, BS, PHARMD
• Kiersten Leigh Betz, RT (R), PA-C
• Catherine A Brosius-Bolick, DO
• Amanda Lee Cagle, PHARMD
• Kirkland Campbell
• Citizens Hose Company of Jersey Shore
• Leita Faye Clark, COTA/L
• Thomas Carroll Connolly, M.D.
• Jonathan David Coote Jr., PA-C
• Crystal Renea Corl, COTA/L

• Chiropractor in Jersey Shore, PA
• Providers in Jersey Shore, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.