Active NPI
Roy Peter Carlson, CH
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1790901056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3219
- Practice address
- 1400 W Oak St Ste B
Kissimmee, FL 34741-4000 - Phone
- (407) 944-9355
- Fax
- (407) 933-1237
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH3219 | FL | Primary |
Addresses
Primary practice location
1400 W Oak St Ste B
Kissimmee, FL 34741-4000
Mailing address
531 S Grove St
Eustis, FL 32726-4820
Phone (352) 360-3601
Other names 1
- R Peter Carlson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3219 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Alternatives Center for Integrative Medicine and | Past | Accepting new patients | |
| Shawn Hanson DC, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790901056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 S GROVE ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264820",
"telephone_number": "352-360-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W OAK ST STE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414000",
"telephone_number": "407-944-9355",
"fax_number": "407-933-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ROY",
"middle_name": "PETER",
"credential": "CH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R",
"last_name": "CARLSON",
"middle_name": "PETER",
"credential": "CH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.