Organization Active NPI

Dr Warren K Carlyle DC PA

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1962776062
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1590 Issued in FL
Legal business name
DR WARREN K CARLYLE DC PA
Practice address
3181 NW 13TH St
Gainesville, FL 32609-2186
Phone
(352) 338-0095
Fax
(352) 373-2444
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Warren K Carlyle, DC
Title
Owner
Phone
(352) 338-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH1590 FL Primary

Addresses

Primary practice location

3181 NW 13TH St
Gainesville, FL 32609-2186

Mailing address

3181 NW 13TH St
Gainesville, FL 32609-2186
Phone (352) 338-0095

Other identifiers 1

IdentifierTypeStateIssuer
89081OtherFLBC BS FL

National Provider Directory

National Provider Directory

Locations

3181 NW 13th St
Gainesville, FL 32609
Phone (352) 338-0095

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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1962776062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092186",
            "telephone_number": "352-338-0095",
            "fax_number": "352-373-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092186",
            "telephone_number": "352-338-0095",
            "fax_number": "352-373-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WARREN K CARLYLE DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-338-0095",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "89081",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.