Organization Active NPI

Corrective Chiropractic, PLLC

Doing business as Michael Carnes, DC

  • Chiropractor
  • Miller Place, NY
National Provider Identifier
1497191076
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011590-1 Issued in NY
Legal business name
CORRECTIVE CHIROPRACTIC, PLLC
Doing business as
Michael Carnes, DC
Practice address
595 Route 25a
Suite 2B
Miller Place, NY 11764-2646
Phone
(631) 849-1586
Fax
(631) 849-1587
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Michael Peter Carnes, D.C.NPI 1033361688
Title
President
Phone
(631) 849-1586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011590-1 NY Primary

Addresses

Primary practice location

595 Route 25a
Suite 2B
Miller Place, NY 11764-2646

Mailing address

595 Route 25a
Suite 2B
Miller Place, NY 11764-2646
Phone (631) 849-1586

Other identifiers 1

IdentifierTypeStateIssuer
X011590-1OtherNYSTATE LICENSE

Other names 1

  • Michael Carnes, DC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130911000689 NY Part B Supplier - Clinic/Group Practice 6305080441 Receives reassigned benefits from 1 practitioner
Practice locations: Miller Place, NY

National Provider Directory

National Provider Directory

Locations

595 Route 25A
Ste 2B
Miller Place, NY 11764
Phone (631) 849-1586

595 Route 25A
Miller Place, NY 11764
Phone (631) 905-1278

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1497191076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "address_2": "SUITE 2B",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642646",
            "telephone_number": "631-849-1586",
            "fax_number": "631-849-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A",
            "address_2": "SUITE 2B",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642646",
            "telephone_number": "631-849-1586",
            "fax_number": "631-849-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CARNES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-849-1586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011590-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "X011590-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Carnes, DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.