Individual provider Active NPI

Carl John Abendroth III, DC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1649339698
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7777 Issued in FL
Practice address
2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332
Phone
(772) 223-7337
Fax
(772) 223-0305
NPI assigned
Dec 6, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7777 FL Primary

Addresses

Primary practice location

2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332

Mailing address

2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332
Phone (772) 223-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000414 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6608812318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth Gilmore DC PA Chiropractor CurrentSince Nov 5, 2024 Accepting new patients
Rapid Response Medical LLC Current Accepting new patients
Florida Spine and Disc Center, Inc. Chiropractor PastSince Mar 5, 2009 Accepting new patients
Schramm Physical Therapy, Inc Past Accepting new patients

Locations

800 Virginia Ave
Ste 45
Fort Pierce, FL 34982
Phone (772) 266-7846

Organizations & group practices 5

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1649339698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-223-7337",
            "fax_number": "772-223-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-223-7337",
            "fax_number": "772-223-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENDROTH",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.