Active NPI
Candy R Carter, D.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1255718839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010296
- Practice address
- 2172 E Paris Ave SE
Suite 2
Grand Rapids, MI 49546-6106 - Phone
- (616) 419-3399
- NPI assigned
- May 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010296 | MI | Primary |
Addresses
Primary practice location
2172 E Paris Ave SE
Suite 2
Grand Rapids, MI 49546-6106
Mailing address
2172 E Paris Ave SE
Suite 2
Grand Rapids, MI 49546-6106
Phone (616) 419-3399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528002216 | MI | Practitioner - Chiropractic | 1153641360 | Practice locations: Holland, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010296 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lyon Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Cummings Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Ann Arbor, MI
- NPI 1013180975
-
- Chiropractor
- South Lyon, MI
- NPI 1073812293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1255718839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 E PARIS AVE SE",
"address_2": "SUITE 2",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466106",
"telephone_number": "616-419-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 E PARIS AVE SE",
"address_2": "SUITE 2",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466106",
"telephone_number": "616-419-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CANDY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-02",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.