Individual provider Active NPI

Lindsey Carrera, D.C.

  • Sports Physician Chiropractor
  • Des Peres, MO
National Provider Identifier
1457708208
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2016014203 Issued in MO
Practice address
2190 S Mason Rd
Suite 302
Des Peres, MO 63131-1637
Phone
(636) 629-2414
NPI assigned
May 23, 2016
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2016014203 MO Primary

Addresses

Primary practice location

2190 S Mason Rd
Suite 302
Des Peres, MO 63131-1637

Mailing address

2190 S Mason Rd Ste 302
Des Peres, MO 63131-1637
Phone (636) 236-7189

Other practice location 1

631 Carol Ann Dr
O Fallon, IL 62269-3435
Phone (636) 236-7189

Other practice location 2

605 N Commercial Ave
Saint Clair, MO 63077-1103
Phone (636) 629-2414

Other names 1

  • Lindsey Carper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2016014203MOMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Chiropractic, PC PastSince Jan 4, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1457708208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 S MASON RD STE 302",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311637",
            "telephone_number": "636-236-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 S MASON RD",
            "address_2": "SUITE 302",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311637",
            "telephone_number": "636-629-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Carol Ann Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622693435",
            "country_code": "US",
            "telephone_number": "636-236-7189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 N Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair",
            "state": "MO",
            "postal_code": "630771103",
            "country_code": "US",
            "telephone_number": "636-629-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2016014203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "CARPER",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.