Individual provider Active NPI

Elizabeth A Carpenter, D.C.

  • Chiropractor
  • Toluca Lake, CA
National Provider Identifier
1972574804
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33734 Issued in CA
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

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800338OtherPABLUE CROSS PERSONAL CHOIC
CA1579486OtherPABLUE 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

LicenseStateTypeSpecialty
33734CAMDChiropractor
DC5765LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carpenter Family Chiropractic PC Chiropractor PastSince Apr 1, 2003 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.

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.

Verify at the official NPI Registry.