Individual provider Active NPI

Mark Gregory Carlo, D.C.

  • Chiropractor
  • Largo, FL
National Provider Identifier
1689634628
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6715 Issued in FL
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

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
381074700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Indian Rocks Family Chiropractic Inc. Chiropractor PastSince Mar 1, 1996 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.

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.

Verify at the official NPI Registry.