Individual provider Active NPI

Derek Joseph Carroll, D.C.

  • Chiropractor
  • Falmouth, MA
National Provider Identifier
1477667624
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2494 Issued in MA
Practice address
15 Simpson LN Unit 2a
Falmouth, MA 02540-2230
Phone
(508) 540-2271
Fax
(508) 548-7754
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2494 MA Primary

Addresses

Primary practice location

15 Simpson LN Unit 2a
Falmouth, MA 02540-2230

Mailing address

15 Simpson LN Unit 2a
Falmouth, MA 02540-2230
Phone (508) 540-2271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000777 MA Practitioner - Chiropractic 9133139397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Dillingham Ave
Suite B
Falmouth, MA 02540-3316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Chiropractic Incorporated Chiropractor CurrentSince Jul 31, 2002 Accepting new patients

Locations

303 Dillingham Ave
Ste B
Falmouth, MA 02540
Phone (508) 540-2271

15 Simpson Ln
Unit 2A
Falmouth, MA 02540
Phone (508) 540-2271

301 Dillingham Ave
Falmouth, MA 02540
Phone (508) 540-2271

303 Dillingham Ave
Falmouth, MA 02540
Phone (508) 548-5028

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1477667624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SIMPSON LN UNIT 2A",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402230",
            "telephone_number": "508-540-2271",
            "fax_number": "508-548-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SIMPSON LN UNIT 2A",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402230",
            "telephone_number": "508-540-2271",
            "fax_number": "508-548-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.