Individual provider Active NPI

Mindy Dolleman Carpenter, DC

  • Chiropractor
  • Lafayette, CO
National Provider Identifier
1407694615
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008845 Issued in CO
Practice address
205 Caria Dr
Lafayette, CO 80026-1157
Phone
(941) 223-6725
NPI assigned
Jul 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008845 CO Primary

Addresses

Primary practice location

205 Caria Dr
Lafayette, CO 80026-1157

Mailing address

205 Caria Dr
Lafayette, CO 80026-1157

Other practice location 1

77 Round Rock Cir NE
Rome, GA 30161-9328
Phone (941) 223-6725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002792 CO Practitioner - Chiropractic 1254842347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008845COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Chiropractic & Wellness, LLC Chiropractor CurrentSince Jun 2, 2025 Accepting new patients

Locations

333 W South Boulder Rd
Ste 4
Louisville, CO 80027
Phone (470) 219-0052

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1407694615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CARIA DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CARIA DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261157",
            "telephone_number": "941-223-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Round Rock Cir NE",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301619328",
            "country_code": "US",
            "telephone_number": "941-223-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLLEMAN CARPENTER",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.