Organization Active NPI

Carpenter Chiropractic Center, PLLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1891988382
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4854 Issued in KY
Legal business name
CARPENTER CHIROPRACTIC CENTER, PLLC
Practice address
161 Saint Matthews Ave
Suite 13
Louisville, KY 40207-3145
Phone
(502) 454-3500
Fax
(502) 454-3015
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Kimberly Beth Carpenter, DCNPI 1982646873
Title
Chiropractor
Phone
(502) 454-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4854 KY Primary

Addresses

Primary practice location

161 Saint Matthews Ave
Suite 13
Louisville, KY 40207-3145

Mailing address

161 St. Matthews Ave
Suite 13
Louisville, KY 40207
Phone (502) 454-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000067 KY Part B Supplier - Clinic/Group Practice 5092766071 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

3000 Breckenridge Ln
#A
Louisville, KY 40220
Phone (502) 454-3500

161 Saint Matthews Ave
Ste 13
St Matthews, KY 40207
Phone (502) 454-3500

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1891988382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 ST. MATTHEWS AVE",
            "address_2": "SUITE 13",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-454-3500",
            "fax_number": "502-454-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SAINT MATTHEWS AVE",
            "address_2": "SUITE 13",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073145",
            "telephone_number": "502-454-3500",
            "fax_number": "502-454-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "502-454-3500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.