Active NPI
Christian B. Carlstrom, D.C.
- Chiropractor
- Jupiter, FL
National Provider Identifier
1366451288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7662
- Practice address
- 1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813 - Phone
- (561) 741-1316
- Fax
- (561) 741-1375
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 | CH7662 | FL | Primary |
Addresses
Primary practice location
1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Mailing address
1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone (561) 741-1316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381212000 | Medicaid | FL | |
| CH7662 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone (561) 741-1316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlstrom Family Chiropractic Center PA | Chiropractor | Current | Accepting new patients |
| Nielson Family Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
1102 W Indiantown Rd
Ste 11
Jupiter, FL 33458
Phone (561) 741-1316
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.
-
dba Spine Design Chiropractic
- Chiropractor
- Jupiter, FL
- NPI 1457481285
-
dba Davis Chiropractic
- Chiropractor
- St Louis Park, MN
- NPI 1467736231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1366451288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 W INDIANTOWN RD",
"address_2": "SUITE 11",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586813",
"telephone_number": "561-741-1316",
"fax_number": "561-741-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W INDIANTOWN RD",
"address_2": "SUITE 11",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586813",
"telephone_number": "561-741-1316",
"fax_number": "561-741-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSTROM",
"first_name": "CHRISTIAN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381212000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CH7662",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Carewell Primary Care Same Day Access of Florida, PLLC
- Nicole Carlisi, LMHC
- Courtney Carlson, LMHC
- Kelly L Carlson, LMHC, M.ED
- Carlstrom Family Chiropractic Center PA (Spine Design Chiropractic)
- Denise C. Carlstrom, D.C.
- Jenna Carlyle
- Carnival Meals and Foods, LLC
- Carnival Meals, Inc.
- Isis Caro, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.