Derek James Carroll, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6120 Issued in CO

Practice address

1469 E Eisenhower Blvd
Loveland, CO 80537-3927

Phone

(970) 635-2848

Fax

(970) 461-0004

NPI assigned

Oct 22, 2007

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back to Health Chiropractic

  • Chiropractor
  • Loveland, CO
  • NPI 1386976165
  Medicare reassignment NPD Authorized official
• Abundant Life Chiropractic LLC

  • Chiropractor
  • Loveland, CO
  • NPI 1144554924
  NPD (past)
• Back in Action Physical Therapy, P.C.

  • Specialist
  • Greeley, CO
  • NPI 1386783827
  NPD (past)
• Solecki Chiropractic & Physical Therapy Clinic PC

  • Chiropractor
  • Greeley, CO
  • NPI 1528107059
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1437348893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 E EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373927",
            "telephone_number": "970-635-2848",
            "fax_number": "970-461-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 E EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373927",
            "telephone_number": "970-635-2848",
            "fax_number": "970-461-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEREK",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Carpenter, LPC
• Marshall Carr
• Hanna Marie Carrell, M.A.
• Ashley Carrera
• Catherine Carreras, LSW
• Cheryl L Carstens, NP
• Jackson Matthew Carter
• Kathleen Marie Carter
• Savannah Carucci
• Emerald Marie Carver, OD

• Chiropractor in Loveland, CO
• Providers in Loveland, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.