Individual provider Active NPI

Nancy K. Carpentier, D.C., D.A.B.C.O.

  • Orthopedic Chiropractor
  • Burns, OR
National Provider Identifier
1497802334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
27 2737 Issued in OR
Practice address
102 W Monroe St
Burns, OR 97720-2107
Phone
(541) 573-3406
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Orthopedic Chiropractor 111NX0800X 27 2737 OR Primary

Addresses

Primary practice location

102 W Monroe St
Burns, OR 97720-2107

Mailing address

102 W Monroe St
Burns, OR 97720-2107
Phone (541) 573-3406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000631 OR Practitioner - ChiropracticPractitioner - Oral Surgery 6002901238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 W Monroe St
Burns, OR 97720-2107
Phone (541) 573-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2737ORMDClinical Psychologist
27 2737ORMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burns Chiropractic Clinic, Inc. Orthopedic CurrentSince Jul 25, 1996 Accepting new patients

Locations

102 W Monroe St
Burns, OR 97720
Phone (503) 573-3406

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497802334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977202107",
            "telephone_number": "541-573-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977202107",
            "telephone_number": "541-573-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIER",
        "first_name": "NANCY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "27 2737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns, OR

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.