Carroll Chiropractic & Acupuncture, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9670 Issued in TX

Legal business name

CARROLL CHIROPRACTIC & ACUPUNCTURE, P.C.

Practice address

1100 W Main St
Eastland, TX 76448-2434

Phone

(254) 631-0987

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Blake Carroll, D.C.NPI 1578571899

Title

Owner

Phone

(254) 631-0987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Blake Carroll, D.C.

  • Chiropractor
  • Eastland, TX
  • NPI 1578571899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1871735399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482434",
            "telephone_number": "254-631-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CHIROPRACTIC & ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-631-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Akers, PT, DPT
• Allegro Mobility Inc
• B & W Clinic PA
• B & W Healthcare Associates PA
• Tiffany Baird, M.D.
• Sharla Brooke Carroll, PA-C
• Timothy Blake Carroll, D.C.
• Elijah Castanuela
• John Castanuela, PT
• Mark Dwayne Chaney, PA-C

• Chiropractor in Eastland, TX
• Providers in Eastland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.