Individual provider Active NPI

Gaylon Carter, D.C.

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1720180615
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
845 Issued in AR
Practice address
301 N Shackleford Rd
Suite F1
Little Rock, AR 72211-2843
Phone
(501) 217-9355
Fax
(501) 217-9354
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 845 AR Primary

Addresses

Primary practice location

301 N Shackleford Rd
Suite F1
Little Rock, AR 72211-2843

Mailing address

PO Box 190431
Little Rock, AR 72219-0431
Phone (501) 217-9355

Other identifiers 1

IdentifierTypeStateIssuer
59083MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1720180615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190431",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722190431",
            "telephone_number": "501-217-9355",
            "fax_number": "501-217-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SHACKLEFORD RD",
            "address_2": "SUITE F1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112843",
            "telephone_number": "501-217-9355",
            "fax_number": "501-217-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GAYLON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59083",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.