Tyson Avery Carter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7855 Issued in AZ

Practice address

5021 W. St. Joseph Hwy
Suite 1
Lansing, MI 48917

Phone

(517) 394-3353

Fax

(517) 394-2723

NPI assigned

Sep 7, 2006

Last updated

Dec 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waverly Chiropractic Center PLLCGroup PAC ID 9234203589, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waverly Chiropractic Center P.L.L.C.

  • Chiropractor
  • Lansing, MI
  • NPI 1588767156
  Medicare reassignment Care Compare group NPD
• Infinity Chiropractic Center P L L C

  • Chiropractor
  • East Lansing, MI
  • NPI 1619070299
  Medicare reassignment NPD
• Ledges Chiropractic Center PLLC

  • Chiropractor
  • Grand Ledge, MI
  • NPI 1861571770
  Medicare reassignment NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1518060193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W ST JOSEPH HWY",
            "address_2": "SUITE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-394-3353",
            "fax_number": "517-394-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W. ST. JOSEPH HWY",
            "address_2": "SUITE 1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-394-3353",
            "fax_number": "517-394-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TYSON",
        "middle_name": "AVERY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009024",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7855",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "05440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950B310680",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Carson, M.D
• Samantha K Carson, MD
• Taylor Carson, MD
• Aretha Carter
• Kurt M Carter, MD
• Gianna M. Casaburo, LLMFT
• Maureen Case
• Daniel Adrian Casey
• Bridget Marie Cashin, RN
• Robert T Casimir, DO

• Chiropractor in Lansing, MI
• Providers in Lansing, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.