Organization Active NPI

Scott L Carpenter DC LLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1457514317
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7844 Issued in AZ
Legal business name
SCOTT L CARPENTER DC LLC
Practice address
1520 W Warner Rd Ste 108
Gilbert, AZ 85233-7043
Phone
(480) 632-6632
Fax
(480) 632-6634
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Fallon Jean Trimmings
Title
Billing Manager
Phone
(520) 461-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7844 AZ Primary

Addresses

Primary practice location

1520 W Warner Rd Ste 108
Gilbert, AZ 85233-7043

Mailing address

1520 W Warner Rd
Ste 108
Gilbert, AZ 85233-7066
Phone (480) 632-6632

Other names 2

  • TRICHIROPRACTIC FAMILY CARE Doing business as
  • Tri-Chiropractic Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000203 AZ Part B Supplier - Clinic/Group Practice 6305917329 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

855 E Warner Rd
Ste 100
Chandler, AZ 85225
Phone (480) 632-6632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1457514317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W WARNER RD",
            "address_2": "STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337066",
            "telephone_number": "480-632-6632",
            "fax_number": "480-632-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W WARNER RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337043",
            "telephone_number": "480-632-6632",
            "fax_number": "480-632-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L CARPENTER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "TRIMMINGS",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "520-461-4948"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRICHIROPRACTIC FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Chiropractic Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.