Individual provider Active NPI

Guy Carter, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1508891318
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25416 Issued in CA
Practice address
5252 Balboa Ave Ste 1002
San Diego, CA 92117-7011
Phone
(858) 278-2181
Fax
(858) 277-2183
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5252 Balboa Ave
Suite 1002
San Diego, CA 92117-7011
Phone (858) 278-2181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001308 CA Practitioner - Chiropractic 5092750984 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25416CAMDClinical Social Worker
DC25416CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffry S Hays DC a Chiropractic Corporation Chiropractor PastSince Dec 29, 2015 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25416 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5252 Balboa Ave Ste 1002
San Diego, CA 92117-7011

Mailing address

5252 Balboa Ave Ste 1002
San Diego, CA 92117-7011
Phone (858) 278-2181

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DC25416OtherCAMEDICARE ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2008.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1508891318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 1002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921177011",
            "telephone_number": "858-278-2181",
            "fax_number": "858-277-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 1002",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921177011",
            "telephone_number": "858-278-2181",
            "fax_number": "858-277-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GUY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "DC25416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.