Individual provider Active NPI

Susan Mary Carter, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1275560526
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9228 Issued in FL
Practice address
1205 Piper Blvd
Suite 103
Naples, FL 34110-1387
Phone
(239) 784-8895
Fax
(888) 784-8895
NPI assigned
Jun 26, 2006
Last updated
Oct 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9228 FL Primary

Addresses

Primary practice location

1205 Piper Blvd
Suite 103
Naples, FL 34110-1387

Mailing address

1205 Piper Blvd
Suite 103
Naples, FL 34110-1387
Phone (239) 784-8895

Other identifiers 1

IdentifierTypeStateIssuer
382134000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000493 FL Practitioner - Chiropractic 6507863339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 Piper Blvd
Suite 103
Naples, FL 34110-1387
Phone (239) 784-8895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9228FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Chiropractic and Wellness L L C Chiropractor CurrentSince Oct 1, 2008 Accepting new patients

Locations

1205 Piper Blvd
Ste 103
Naples, FL 34110
Phone (239) 784-8895

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8461/brand/1/csg/1/fhir/r4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317427200000",
    "number": "1275560526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PIPER BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101387",
            "telephone_number": "239-784-8895",
            "fax_number": "888-784-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PIPER BLVD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101387",
            "telephone_number": "239-784-8895",
            "fax_number": "888-784-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382134000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

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