Organization Active NPI

Carpenter Chiropractic Health Center, LLC

  • Chiropractor
  • Pleasanton, KS
National Provider Identifier
1245500875
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4776 Issued in KS
Legal business name
CARPENTER CHIROPRACTIC HEALTH CENTER, LLC
Practice address
714 Main St
Pleasanton, KS 66075-8262
Phone
(913) 352-8344
Fax
(913) 352-6675
NPI assigned
Jan 12, 2012
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Chase R Carpenter, DCNPI 1467558676
Title
Sole Member
Phone
(913) 352-8344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4776 KS Primary

Addresses

Primary practice location

714 Main St
Pleasanton, KS 66075-8262

Mailing address

PO Box 436
Pleasanton, KS 66075-0436
Phone (913) 352-8344

Other identifiers 3

IdentifierTypeStateIssuer
060922OtherKSBLUE CROSS BLUE SHIELD
P00233386OtherKSPALMETTO GBA
37198021OtherKSBLUE CROSS BLUE SHIELD KANSAS CITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000013 KS Part B Supplier - Clinic/Group Practice 1456510015 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1245500875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "PLEASANTON",
            "state": "KS",
            "postal_code": "660750436",
            "telephone_number": "913-352-8344",
            "fax_number": "913-352-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "PLEASANTON",
            "state": "KS",
            "postal_code": "660758262",
            "telephone_number": "913-352-8344",
            "fax_number": "913-352-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "913-352-8344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "060922",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00233386",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
            "identifier": "37198021",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.