Randy L. Carmichael, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000787A Issued in IN

Practice address

3937 W Roll Ave
Bloomington, IN 47403-3181

Phone

(812) 332-3232

Fax

(812) 332-3273

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Dr Randy L Carmichael

  dba Carmichael Chiropractic

  • Clinic/Center
  • Bloomington, IN
  • NPI 1538337969
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1790813517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 W ROLL AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033181",
            "telephone_number": "812-332-3232",
            "fax_number": "812-332-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 W ROLL AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033181",
            "telephone_number": "812-332-3232",
            "fax_number": "812-332-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "RANDY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000787A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA54351",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madylin Carey
• Lexie D Carlson-Wheat, LMHC
• Lynnette Carlson, LMHC
• Drew T Carlton, MD
• Ashlynn Carmichael
• Gena Carney, LCSW
• Corrine Carpenter, LAC
• Elizabeth Carpenter, OTR
• Maria Carrasco Williams, LCSW
• Madison Carrel, RBT

• Chiropractor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.