Individual provider Active NPI

Carrie Lyn Wheeler Engh, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1528179330
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25534 Issued in CA
Practice address
2410 Fair Oaks Blvd
Ste 160
Sacramento, CA 95825
Phone
(916) 483-2359
Fax
(916) 483-0329
NPI assigned
Aug 31, 2006
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25534 CA Primary

Addresses

Primary practice location

2410 Fair Oaks Blvd
Ste 160
Sacramento, CA 95825

Mailing address

2410 Fair Oaks Blvd
Ste 160
Sacramento, CA 95825-7630
Phone (916) 483-2359

Other names 1

  • Dr. Carrie Lyn Wheeler Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000728 CA Practitioner - Chiropractic 6305887209 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2410 Fair Oaks Blvd
Sacramento, CA 95825-7630
Phone (916) 483-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25534CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1528179330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD",
            "address_2": "STE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257630",
            "telephone_number": "916-483-2359",
            "fax_number": "916-483-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD",
            "address_2": "STE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-483-2359",
            "fax_number": "916-483-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER ENGH",
        "first_name": "CARRIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WHEELER",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.