Carolyn A. Hall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10027 Issued in FL

Practice address

12731 World Plaza LN BLDG 83-1
Fort Myers, FL 33907-4081

Phone

(239) 970-1906

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carolyn A. Underhill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pediatric & Perinatal Corp

  dba Pediatric & Perinatal Chiropractic Center

  • Chiropractor
  • Fort Myers, FL
  • NPI 1043980568
  NPD
• Back Pain Institute of Ft. Myers, Inc.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1942469184
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1881915221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 MORENO AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016836",
            "telephone_number": "239-464-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 WORLD PLAZA LN BLDG 83-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074081",
            "telephone_number": "239-970-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CAROLYN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "UNDERHILL",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denis Halca Sr.
• Hale Therapy Service Inc
• Ralph Elton Hale, LCSW
• Richard W Haley, M.A.
• Robert C Halgas II, PT, DPT
• David Gould Hall, LMHC
• Edita Hall
• Frederick Hall, PA
• Jaime Marie Realsen Hall, MD
• Janet Kay Hall, PHARMACIST

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.