Kereah Carpenter DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27 2818 Issued in OR

Legal business name

KEREAH CARPENTER DC PC

Doing business as

Carpenter Chiropractic Clinic

Practice address

14355 SW Allen Blvd
Ste 100
Beaverton, OR 97005-4700

Phone

(503) 642-3423

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kereah Carpenter, D.C

Title

President

Phone

(503) 642-3423

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Carpenter Chiropractic Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Barry Carpenter, L.M.T.

  • Massage Therapist
  • Beaverton, OR
  • NPI 1356562425
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1649446998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD",
            "address_2": "STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-642-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD",
            "address_2": "STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-642-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEREAH CARPENTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KEREAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-642-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "27 2818",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116900",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050065000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carpenter Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carpenter Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Edward Kemp, LMHCA
• Benjamin Kennedy Cadd
• Michela Kenning, O.D.
• Sharon Louise Kenny, M.D.
• Lena Kent, MA
• Barbara Christine Kerkmann, LMFT
• Yimei Kerr
• Kevin Nakaji Inc.
• Aammar Khan, DO, MPH
• Mahdi Khanbabazadeh, DC

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.