Organization Active NPI

Carter Wellness Systems, PC

Doing business as Family Tree Chiropractic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1255478822
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3648 Issued in OK
Legal business name
CARTER WELLNESS SYSTEMS, PC
Doing business as
Family Tree Chiropractic
Practice address
12325 N May Ave
111A
Oklahoma City, OK 73120-1962
Phone
(405) 340-4400
Fax
(405) 340-4480
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Micah Dan Carter, D.C.NPI 1265579825
Title
President
Phone
(405) 340-4400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3648 OK Primary

Addresses

Primary practice location

12325 N May Ave
111A
Oklahoma City, OK 73120-1962

Mailing address

12325 N May Ave
111A
Oklahoma City, OK 73120-1962
Phone (405) 340-4400

Other identifiers 1

IdentifierTypeStateIssuer
442904074-001OtherOKBLUE CROSS BLUE SHIELD

Other names 1

  • Family Tree Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728001066 OK Part B Supplier - Clinic/Group Practice 4880750215 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

12325 N May Ave
Ste 111A
Oklahoma City, OK 73120
Phone (405) 340-4400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1255478822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 N MAY AVE",
            "address_2": "111A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201962",
            "telephone_number": "405-340-4400",
            "fax_number": "405-340-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 N MAY AVE",
            "address_2": "111A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201962",
            "telephone_number": "405-340-4400",
            "fax_number": "405-340-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER WELLNESS SYSTEMS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-340-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "442904074-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.