Individual provider Active NPI

Samuel E. Carr, DC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1982677985
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4865 Issued in AZ
Practice address
610 N Alma School Rd Ste 24
Chandler, AZ 85224-3688
Phone
(480) 375-0589
Fax
(480) 812-8983
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4865 AZ Primary

Addresses

Primary practice location

610 N Alma School Rd Ste 24
Chandler, AZ 85224-3688

Mailing address

610 N Alma School Rd Ste 24
Chandler, AZ 85224-3688
Phone (480) 375-0589

Other names 1

  • Dr. Sam E. Carr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000760 AZ Practitioner - Chiropractic 7618996703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 N Dobson Rd
Suite 3
Chandler, AZ 85224-9608
Phone (480) 375-0589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4865AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel E. Carr, D.C., P.C. Chiropractor CurrentSince Apr 28, 2008 Accepting new patients

Locations

610 N Alma School Rd
Ste 24
Chandler, AZ 85224
Phone (480) 375-0589

3200 N Dobson Rd
Ste B-3
Chandler, AZ 85224
Phone (480) 375-0589

7002 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-4267

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1982677985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD STE 24",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243688",
            "telephone_number": "480-375-0589",
            "fax_number": "480-812-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD STE 24",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243688",
            "telephone_number": "480-375-0589",
            "fax_number": "480-812-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SAMUEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC4865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "CARR",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.