Individual provider Active NPI

Linda Marie Carroll, D.C.

  • Chiropractor
  • Creston, IA
National Provider Identifier
1669614376
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007194 Issued in IA
Practice address
224 N Pine St
Creston, IA 50801-2412
Phone
(563) 940-2191
NPI assigned
Mar 26, 2009
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007194 IA Primary

Addresses

Primary practice location

224 N Pine St
Creston, IA 50801-2412

Mailing address

224 N Pine St
Creston, IA 50801-2412
Phone (563) 940-2191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000528 IA Practitioner - Chiropractic 8527115245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Family Chiropractic, LLCGroup PAC ID 3870640717, 2 clinicians

Practice addresses (Care Compare)

203 W Adams St
Creston, IA 50801-3106
Phone (641) 782-3199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007194IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Family Chiropractic, LLC Chiropractor CurrentSince May 1, 2009 Accepting new patients

Locations

203 W Adams St
Creston, IA 50801
Phone (641) 782-3199

224 N Pine St
Creston, IA 50801
Phone (563) 940-2191

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, 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": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1669614376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N PINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508012412",
            "telephone_number": "563-940-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N PINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508012412",
            "telephone_number": "563-940-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.