Eliot Adams Carter, D.C.
Individual provider Active NPI Chiropractor · Sonoma, CA
NPI 1386714517 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1386714517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC26611 (CA)
- Practice address
- 181 Andrieux St
Suite 201
Sonoma, CA 95476-6932 - Phone
- (707) 939-1393
- Fax
- (707) 939-8602
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
181 Andrieux St
Suite 201
Sonoma, CA 95476-6920
Phone (707) 939-1393
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110404000428 | CA | Practitioner - Chiropractic | 8426232208 | Practice locations: Sonoma, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26611 | CA | MD | Chiropractor |
| 26611 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Medical Foundation | Past | Accepting new patients | |
| Prima Medical Group, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26611 | CA | Yes |
Addresses
Primary practice location
181 Andrieux St
Suite 201
Sonoma, CA 95476-6932
Mailing address
181 Andrieux St
Suite 201
Sonoma, CA 95476-6932
Phone (707) 939-1393
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.