Carson Chiropractic, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009980 Issued in IL

Legal business name

CARSON CHIROPRACTIC, L.L.C.

Practice address

4541 State Route 71
Oswego, IL 60543-7416

Phone

(630) 551-1003

Fax

(630) 551-4914

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Edward Carson, D.C.NPI 1518991462

Title

Doctor

Phone

(630) 551-1003

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Edward Carson, D.C.

  • Chiropractor
  • Oswego, IL
  • NPI 1518991462
  Medicare reassignment NPD Authorized official
• Michael J Gugliotta, D.C.

  • Chiropractor
  • North Aurora, IL
  • NPI 1124220520
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1821026717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 STATE ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437416",
            "telephone_number": "630-551-1003",
            "fax_number": "630-551-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 STATE ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437416",
            "telephone_number": "630-551-1003",
            "fax_number": "630-551-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-551-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER#",
            "identifier": "047-32019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH PROVIDER#",
            "identifier": "214-1847",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Cardenas, M.A./CCC-SLP/L
• Joseph J Caricato, DPT
• Shannon Carlson
• Josefina Caro
• Kristen Marie Carrasquilla
• Eric Edward Carson, D.C.
• Sara Carson, MSP
• Margaret Carstensen, LCPC, ATR
• Caryn McNulty
• Center for Collaborative Connections

• Chiropractor in Oswego, IL
• Providers in Oswego, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.