Timothy J Carter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007473 Issued in MI

Practice address

1183 N Pontiac TRL
Walled Lake, MI 48390-3138

Phone

(248) 624-6111

Fax

(248) 624-6112

NPI assigned

Dec 11, 2006

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregg Chiropractic Life Center P.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1992865703
  Medicare reassignment NPD
• O Dell Chiropractic Center PC

  • Chiropractor
  • Walled Lake, MI
  • NPI 1295751873
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1851451637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903138",
            "telephone_number": "248-624-6111",
            "fax_number": "248-624-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903138",
            "telephone_number": "248-624-6111",
            "fax_number": "248-624-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javon M Brown
• Barbra Byrd
• Jeffrie Kon Cape, LMSW
• Diana Jolynn Carlson, D.O.
• Tia Fianna Carter, LLC
• George Georges Chabiaa, D.D.S.,
• Chiropractic Care Center Inc.
• City of Walled Lake (Walled Lake Fire Department)
• Clarity Advanced Eyecare, PLLC (Oakland Vision Services)
• Clarity Oakland WL, PLLC (Oakland Vision)

• Chiropractor in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.