Casey Carter, D.C., L.AC., O.M.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6602 Issued in CA

Practice address

100 Brush Creek Rd.
Suite 100
Santa Rosa, CA 95404-2085

Phone

(707) 538-3000

Fax

(707) 303-7199

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renew Science a Professional Nursing Corporation

  • Health Service Clinic/Center
  • Santa Rosa, CA
  • NPI 1972169480
  NPD (past)
• Eugene Physical Therapy, LLC

  • Physical Therapist
  • Eugene, OR
  • NPI 1992796452
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1700829413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRUSH CREEK RD.",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042085",
            "telephone_number": "707-538-3000",
            "fax_number": "707-303-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRUSH CREEK RD.",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042085",
            "telephone_number": "707-538-3000",
            "fax_number": "707-303-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC., O.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27212",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Carroll, LAC
• Meaghan Carroll, RN
• William Carroll, LMFT
• William David Carroll, M.D.
• Pablo Carsillo
• David Carter, BA
• Isiah Carter
• Judy Lee Carter, RAS
• Lisa Carter
• Loralee Ann Carter, LCSW

• Acupuncturist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.