Jeffery Scott Carpenter, D.C., P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008269 Issued in MI

Legal business name

JEFFERY SCOTT CARPENTER, D.C., P.L.L.C.

Practice address

1530 Pine Grove Ave
Suite 2
Port Huron, MI 48060-3370

Phone

(810) 966-1600

Fax

(810) 966-1601

NPI assigned

Mar 23, 2009

Last updated

May 6, 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

Ms. Amanda Nieman

Title

Receptionist/Billing

Phone

(810) 966-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carpenter Chiropractic & Wellness Center Other name

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1942441803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "SUITE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603370",
            "telephone_number": "810-966-1600",
            "fax_number": "810-966-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "SUITE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603370",
            "telephone_number": "810-966-1600",
            "fax_number": "810-966-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY SCOTT CARPENTER, D.C., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "RECEPTIONIST/BILLING",
        "authorized_official_telephone_number": "810-966-1600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4330935",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carpenter Chiropractic & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.