Active NPI
Elizabeth A Carpenter, D.C.
- Chiropractor
- Toluca Lake, CA
National Provider Identifier
1972574804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33734
- Practice address
- 4444 Lankershim Blvd Ste 104
Toluca Lake, CA 91602 - Phone
- (215) 262-7916
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC5765L | PA | |
| Chiropractor | 111N00000X | 33734 | CA | Primary |
Addresses
Primary practice location
4444 Lankershim Blvd Ste 104
Toluca Lake, CA 91602
Mailing address
18017 Chatsworth St # 675
Granada Hills, CA 91344-5608
Phone (215) 262-7916
Other practice location 1
263 East Broad Street
Trumbauersville, PA 18970
Phone (215) 529-6077
Other practice location 2
4444 Lankershim Blvd Ste 104
Toluca Lake, CA 91602
Phone (215) 262-7916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800338 | Other | PA | BLUE CROSS PERSONAL CHOIC |
| CA1579486 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33734 | CA | MD | Chiropractor |
| DC5765L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carpenter Family Chiropractic PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Trumbauersville, PA
- NPI 1376552794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1972574804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18017 CHATSWORTH ST # 675",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445608",
"telephone_number": "215-262-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 LANKERSHIM BLVD STE 104",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "91602",
"telephone_number": "215-262-7916"
}
],
"practiceLocations": [
{
"address_1": "263 East Broad Street",
"address_purpose": "LOCATION",
"city": "Trumbauersville",
"state": "PA",
"postal_code": "18970",
"country_code": "US",
"telephone_number": "215-529-6077",
"fax_number": "215-529-6078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4444 Lankershim Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Toluca Lake",
"state": "CA",
"postal_code": "91602",
"country_code": "US",
"telephone_number": "215-262-7916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC5765L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PERSONAL CHOIC",
"identifier": "800338",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "CA1579486",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toluca Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.