Individual provider Active NPI

Edward Carlton, D.C.

  • Chiropractor
  • Manassas, VA
National Provider Identifier
1619097540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000845 Issued in VA
Practice address
8805 Sudley Rd
Suite 200a
Manassas, VA 20110-4740
Phone
(703) 335-9149
Fax
(703) 335-9004
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

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
Chiropractor 111N00000X 0104000845 VA Primary

Addresses

Primary practice location

8805 Sudley Rd
Suite 200a
Manassas, VA 20110-4740

Mailing address

8805 Sudley Rd
Suite 200a
Manassas, VA 20110-4740
Phone (703) 335-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0104000845VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlton Chiropractic PC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619097540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 SUDLEY RD",
            "address_2": "SUITE 200A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104740",
            "telephone_number": "703-335-9149",
            "fax_number": "703-335-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 SUDLEY RD",
            "address_2": "SUITE 200A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104740",
            "telephone_number": "703-335-9149",
            "fax_number": "703-335-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.