Individual provider Active NPI

Carmen Danielle Doerr-Nauth, DC

  • Chiropractor
  • Katy, TX
National Provider Identifier
1497393870
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14186 Issued in TX
Practice address
23221 Red River Dr
Katy, TX 77494-2031
Phone
(713) 487-9755
Fax
(346) 388-3263
NPI assigned
Dec 16, 2019
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13011 FL
Chiropractor 111N00000X 14186 TX Primary

Addresses

Primary practice location

23221 Red River Dr
Katy, TX 77494-2031

Mailing address

20927 Westfield Terrace TRL
Katy, TX 77449-2166
Phone (727) 204-8471

Other practice location 1

14866 Old Saint Augustine Rd Ste 113
Jacksonville, FL 32258-2611
Phone (727) 204-8471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623000972 TX Practitioner - Chiropractic 0648692525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23221 Red River Dr
Katy, TX 77494-2031
Phone (713) 487-9755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13011FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Chiropractic LLC Chiropractor CurrentSince Jun 22, 2020 Accepting new patients

Locations

23221 Red River Dr
Katy, TX 77494
Phone (713) 487-9755

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1497393870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20927 WESTFIELD TERRACE TRL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492166",
            "telephone_number": "727-204-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23221 RED RIVER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942031",
            "telephone_number": "713-487-9755",
            "fax_number": "346-388-3263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14866 Old Saint Augustine Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582611",
            "country_code": "US",
            "telephone_number": "727-204-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERR-NAUTH",
        "first_name": "CARMEN",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13011",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.