Individual provider Active NPI

John Charles Carls, DC

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1710945274
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JC002732 Issued in MI
Practice address
952 Vassar Drive
Kalamazoo, MI 49001
Phone
(269) 344-7946
Fax
(269) 344-6196
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JC002732 MI Primary

Addresses

Primary practice location

952 Vassar Drive
Kalamazoo, MI 49001

Mailing address

952 Vassar Drive
Kalamazoo, MI 49001
Phone (269) 344-7946

Other identifiers 1

IdentifierTypeStateIssuer
950C912750OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000115 MI Practitioner - Chiropractic 8729268297 Reassigns benefits to 1 organization
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JC002732MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carls Chiropractic Health Center, PLLC Chiropractor CurrentSince Jan 20, 2018 Accepting new patients
Carls Chiropractic Health Center Chiropractor CurrentSince Jun 19, 1975 Accepting new patients

Locations

952 Vassar Dr
Kalamazoo, MI 49001
Phone (269) 344-7946

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1710945274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 VASSAR DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-344-7946",
            "fax_number": "269-344-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 VASSAR DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-344-7946",
            "fax_number": "269-344-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLS",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JC002732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C912750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.