Andrew G. Carr, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010941 Issued in IL

Legal business name

ANDREW G. CARR, D.C. P.C.

Doing business as

Prime Health Chiropractic Wellness Center

Practice address

234 E Ferguson Ave
Wood River, IL 62095-2002

Phone

(618) 254-1100

NPI assigned

May 29, 2007

Last updated

Oct 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew G. Carr, D.C.NPI 1629282108

Title

Doctor

Phone

(618) 254-1100

Specialties & licenses 1

Addresses

Other names 1

• Prime Health Chiropractic Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew G. Carr, D.C.

  • Chiropractor
  • Wood River, IL
  • NPI 1629282108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1679774699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620952002",
            "telephone_number": "618-254-1100",
            "fax_number": "618-254-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620952002",
            "telephone_number": "618-254-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW G. CARR, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-254-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Health Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wood River, IL
• Providers in Wood River, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.