Individual provider Active NPI

Tracy Carpenter-Labrecque, DC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1922052034
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1593 Issued in NC
Practice address
3825 Market Street
Suite One
Wilmington, NC 28403-1401
Phone
(910) 343-1111
Fax
(910) 343-8292
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1593 NC Primary

Addresses

Primary practice location

3825 Market Street
Suite One
Wilmington, NC 28403-1401

Mailing address

PO Box 12027
Wilmington, NC 28405-0100
Phone (910) 343-1111

Other identifiers 3

IdentifierTypeStateIssuer
08581OtherNCBCBS
6908581MedicaidNC
350054583OtherRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000283 NC Practitioner - Chiropractic 0840475729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Chiropractic Center PAGroup PAC ID 8022059765, 3 clinicians

Practice addresses (Care Compare)

3825 Market St
Suite 1
Wilmington, NC 28403-1426
Phone (910) 343-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Chiropractic Center PA Chiropractor CurrentSince Mar 17, 2011 Accepting new patients

Locations

3825 Market St
Ste 1
Wilmington, NC 28403
Phone (910) 343-1111

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1922052034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12027",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284050100",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET STREET",
            "address_2": "SUITE ONE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031401",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER-LABRECQUE",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08581",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6908581",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350054583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.