Robert I Carpenter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1413-012 Issued in WI

Practice address

10731 W Forest Home Ave
Hales Corners, WI 53130-2555

Phone

(414) 529-4600

Fax

(414) 529-4689

NPI assigned

Jun 30, 2006

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

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.

• Back in Action S.C.

  • Physical Therapist
  • Hales Corners, WI
  • NPI 1952342388
  NPD (past) Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871521336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302555",
            "telephone_number": "414-529-4600",
            "fax_number": "414-529-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10731 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302555",
            "telephone_number": "414-529-4600",
            "fax_number": "414-529-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1413-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38752500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Adam Burkhardt, D.M.D.
• Jennifer Lyn Burton, PH.D.
• Linda Ann Buyan, OTR
• Megan Janelle Byers, D.D.S.
• Sarah Byleen, PHARMD
• Scott J. Catarozoli, D.D.S.
• Lucina Cervantes
• Chiro One Wellness Center of Hales Corners, LLC
• Chiropractic Company - Greenfield West LLC
• Kay Carolyn Chmielewski, DPT

• Chiropractor in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Chiropractor in Wisconsin

• 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.

Verify at the official NPI Registry.