Organization Active NPI

Carrier Chiropractic P C

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1942390588
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
775 Issued in TN
Legal business name
CARRIER CHIROPRACTIC P C
Practice address
129 Indian Lake Rd
Hendersonville, TN 37075-3820
Phone
(615) 822-7421
Fax
(615) 822-7475
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Michelle D Richardson
Title
Office Manager
Phone
(615) 822-7421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 775 TN Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 774 TN

Addresses

Primary practice location

129 Indian Lake Rd
Hendersonville, TN 37075-3820

Mailing address

129 Indian Lake Rd
Hendersonville, TN 37075-3820
Phone (615) 822-7421

Other identifiers 8

IdentifierTypeStateIssuer
3979780OtherTNDRG CIGNA ID
4442119OtherTNDRG UHC ID
4318508OtherTNDRG BC ID
3036223OtherTNDRM BC ID
4318508OtherTNDRG AETNA ID
4671200OtherTNDRM AETNA ID
6713036OtherTNDRM AETNA ID
4442024OtherTNDRM UHC ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000658 TN Part B Supplier - Clinic/Group Practice 9537161229 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Locations

131 Maple Row Blvd
Ste A100
Hendersonville, TN 37075
Phone (615) 822-7421

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1942390588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753820",
            "telephone_number": "615-822-7421",
            "fax_number": "615-822-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753820",
            "telephone_number": "615-822-7421",
            "fax_number": "615-822-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIER CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-822-7421"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "775",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRG CIGNA ID",
            "identifier": "3979780",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRG UHC ID",
            "identifier": "4442119",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRG BC ID",
            "identifier": "4318508",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRM BC ID",
            "identifier": "3036223",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRG AETNA ID",
            "identifier": "4318508",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRM AETNA ID",
            "identifier": "4671200",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRM AETNA ID",
            "identifier": "6713036",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRM UHC ID",
            "identifier": "4442024",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.