Carly Kristeen Meckle, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10882 Issued in FL

Practice address

201 S Ridgewood Ave
Suite #11
Edgewater, FL 32132-1946

Phone

(386) 423-7575

NPI assigned

Jun 17, 2013

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewater Chiropractic Clinic, P.a.Group PAC ID 9436383783, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgewater Chiropractic Clinic, P.a.

  • Chiropractor
  • Edgewater, FL
  • NPI 1821421363
  Medicare reassignment Care Compare group NPD Authorized official
• Bennett Chiropractic Clinic Inc

  • Chiropractor
  • Port Orange, FL
  • NPI 1346351244
  Medicare reassignment NPD

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1780023440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S RIDGEWOOD AVE",
            "address_2": "SUITE #11",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321946",
            "telephone_number": "386-423-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S RIDGEWOOD AVE",
            "address_2": "SUITE #11",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321946",
            "telephone_number": "386-423-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLE",
        "first_name": "CARLY",
        "middle_name": "KRISTEEN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Martin Jr., DC
• Phoenix Mason
• Nicole McCarthy
• Sean Christopher McLoughlin, O.D.
• Crystal R Mead, PA
• Medfast Urgent Care Center, LLC
• Margaret Sue Mehring, ARNP
• Angela Dawn Mellen, FNP-C
• Kaley Melville
• Estavelie Meristil

• Chiropractor in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.