NPIMap

Organization Active NPI

Carr Chiropractic Clinics PC

  • Chiropractor
  • Redfield, SD
National Provider Identifier
1386788644
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
964 Issued in SD
Legal business name
CARR CHIROPRACTIC CLINICS PC
Practice address
615 N Main St
Redfield, SD 57469-1209
Phone
(605) 472-1405
Fax
(605) 472-1408
NPI assigned
Feb 19, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Kathy Carr
Title
Office Manager
Phone
(605) 352-5264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 964 SD Primary

Addresses

Primary practice location

615 N Main St
Redfield, SD 57469-1209

Mailing address

615 N Main St
Redfield, SD 57469-1209
Phone (605) 472-1405

Other identifiers 1

IdentifierTypeStateIssuer
4999854OtherSDWELLMARK / BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008001320 SD Part B Supplier - Clinic/Group Practice 6800797374 Receives reassigned benefits from 9 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Faulkton, SD; Redfield, SD; Miller, SD; Huron, SD; Kimball, SD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carr Chiropractic Clinics PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

615 N Main St
Redfield, SD 57469
Phone (605) 472-1405

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386788644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691209",
            "telephone_number": "605-472-1405",
            "fax_number": "605-472-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691209",
            "telephone_number": "605-472-1405",
            "fax_number": "605-472-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARR CHIROPRACTIC CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-352-5264"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK / BCBS",
            "identifier": "4999854",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redfield, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.