Carroll Chiropractic and Functional Health Solutions, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CARROLL CHIROPRACTIC AND FUNCTIONAL HEALTH SOLUTIONS, INC.

Practice address

11650 Riverside Drive
Penthouse 1
Studio City, CA 91602

Phone

(818) 760-4808

Fax

(818) 760-4809

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Leland Edward Carroll, DCNPI 1396817359

Title

President

Phone

(818) 760-4808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Leland Edward Carroll, D.C.

  • Chiropractor
  • Studio City, CA
  • NPI 1396817359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1952932311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DRIVE",
            "address_2": "PENTHOUSE 1",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-760-4808",
            "fax_number": "818-760-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DRIVE",
            "address_2": "PENTHOUSE 1",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-760-4808",
            "fax_number": "818-760-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL CHIROPRACTIC AND FUNCTIONAL HEALTH SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-760-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Studio City, CA
• Providers in Studio City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.