Individual provider Active NPI

Lyndon B Carpenter, D.C.

  • Chiropractor
  • Farmerville, LA
National Provider Identifier
1467484428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1183 Issued in LA
Practice address
509 Sterlington Hwy
Farmerville, LA 71241-3122
Phone
(318) 368-9049
Fax
(318) 368-9051
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1183 LA Primary

Addresses

Primary practice location

509 Sterlington Hwy
Farmerville, LA 71241-3122

Mailing address

509 Sterlington Hwy
Farmerville, LA 71241-3122
Phone (318) 368-9049

Other identifiers 4

IdentifierTypeStateIssuer
721454608OtherLAUNITED HEALTH CARE
7345053OtherLAATENA
721434608OtherLASTATE GROUP BENEFITS
P00073868OtherLARAILROAD MEDICARE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000710 LA Practitioner - Chiropractic 9739360629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

509 Sterlington Hwy
Farmerville, LA 71241-3122
Phone (318) 368-9049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Carpenter's Health Clinic Inc. Chiropractor CurrentSince Dec 20, 2010 Accepting new patients

Locations

509 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 368-9049

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467484428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STERLINGTON HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413122",
            "telephone_number": "318-368-9049",
            "fax_number": "318-368-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STERLINGTON HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413122",
            "telephone_number": "318-368-9049",
            "fax_number": "318-368-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "LYNDON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "721454608",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "7345053",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE GROUP BENEFITS",
            "identifier": "721434608",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00073868",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.