Active NPI
Mark Gregory Carlo, D.C.
- Chiropractor
- Largo, FL
National Provider Identifier
1689634628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6715
- Practice address
- 13002 Seminole Blvd Ste 4
Largo, FL 33778-2125 - Phone
- (727) 585-8888
- Fax
- (727) 674-0022
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6715 | FL | Primary |
Addresses
Primary practice location
13002 Seminole Blvd Ste 4
Largo, FL 33778-2125
Mailing address
13002 Seminole Blvd Ste 4
Largo, FL 33778-2125
Phone (727) 585-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381074700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060111001019 | FL | Practitioner - Chiropractic | 7315960788 | Practice locations: Largo, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13002 Seminole Blvd
Suite 4
Largo, FL 33778-2125
Phone (727) 585-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Rocks Family Chiropractic Inc. | 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.
-
- Chiropractor
- Largo, FL
- NPI 1568822542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1689634628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13002 SEMINOLE BLVD STE 4",
"city": "LARGO",
"state": "FL",
"postal_code": "337782125",
"telephone_number": "727-585-8888",
"fax_number": "727-674-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13002 SEMINOLE BLVD STE 4",
"city": "LARGO",
"state": "FL",
"postal_code": "337782125",
"telephone_number": "727-585-8888",
"fax_number": "727-674-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "MARK",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381074700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.