Individual provider Active NPI

Timothy John Carls, DC

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1487808069
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009431 Issued in MI
Practice address
952 Vassar Dr
Kalamazoo, MI 49001-4436
Phone
(269) 344-7946
Fax
(269) 344-6196
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009431 MI Primary

Addresses

Primary practice location

952 Vassar Dr
Kalamazoo, MI 49001-4436

Mailing address

952 Vassar Dr
Kalamazoo, MI 49001-4436
Phone (269) 344-7946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000469 MI Practitioner - Chiropractic 1254519929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

952 Vassar Dr
Kalamazoo, MI 49001-4436
Phone (269) 344-7946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009431MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yockey Chiropractic Inc Chiropractor CurrentSince Dec 24, 2018 Accepting new patients
Carls Chiropractic Health Center, PLLC Chiropractor CurrentSince Dec 26, 2017 Accepting new patients
Carls Chiropractic Health Center Chiropractor PastSince Feb 27, 2018 Accepting new patients

Locations

310 Capital Ave SW
Battle Creek, MI 49037
Phone (269) 965-3367

952 Vassar Dr
Kalamazoo, MI 49001
Phone (269) 344-7946

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1487808069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 VASSAR DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014436",
            "telephone_number": "269-344-7946",
            "fax_number": "269-344-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 VASSAR DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014436",
            "telephone_number": "269-344-7946",
            "fax_number": "269-344-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLS",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.