Carlstrom Family Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7662 Issued in FL

Legal business name

CARLSTROM FAMILY CHIROPRACTIC CENTER PA

Doing business as

Spine Design Chiropractic

Practice address

1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813

Phone

(561) 741-1316

Fax

(561) 741-1375

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Denise Troise Carlstrom, D.C.

Title

Owner

Phone

(561) 741-1316

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spine Design Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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.

• Christian B. Carlstrom, D.C.

  • Chiropractor
  • Jupiter, FL
  • NPI 1366451288
  Medicare reassignment Care Compare group NPD
• Michael Christopher Kestner, DC

  • Chiropractor
  • Jupiter, FL
  • NPI 1063155836
  Medicare reassignment Care Compare group NPD
• Jennifer Nicki Polak, DC

  • Chiropractor
  • Jupiter, FL
  • NPI 1780454231
  Medicare reassignment Care Compare group NPD
• Caitlin Roggin

  • Physical Therapist
  • Jupiter, FL
  • NPI 1265076921
  Medicare reassignment NPD
• Denise C. Carlstrom, D.C.

  • Chiropractor
  • Jupiter, FL
  • NPI 1558370478
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1457481285",
    "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": {
        "organization_name": "CARLSTROM FAMILY CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CARLSTROM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "TROISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-741-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "38170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Design Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caresouth HHA Holdings of the Treasure Coast, LLC (Enhabit Home Health of Jupiter Medical Center)
• Carewell Primary Care Same Day Access of Florida, PLLC
• Nicole Carlisi, LMHC
• Courtney Carlson, LMHC
• Kelly L Carlson, LMHC, M.ED
• Christian B. Carlstrom, D.C.
• Denise C. Carlstrom, D.C.
• Jenna Carlyle
• Carnival Meals and Foods, LLC
• Carnival Meals, Inc.

• Chiropractor in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.