Individual provider Active NPI

Carl Skouson Freestone, D.C.

  • Chiropractor
  • Taylor, AZ
National Provider Identifier
1992702658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5061 Issued in AZ
Practice address
34 Casa Linda Drive
Ste D
Taylor, AZ 85939
Phone
(928) 536-4133
Fax
(928) 536-4133
NPI assigned
Jul 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5061 AZ Primary

Addresses

Primary practice location

34 Casa Linda Drive
Ste D
Taylor, AZ 85939

Mailing address

PO Box 36
Taylor, AZ 85939-0036
Phone (928) 536-4133

Other identifiers 1

IdentifierTypeStateIssuer
AZ09300070OtherAZBCBSAZ PIN #

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
5061AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992702658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859390036",
            "telephone_number": "928-536-4133",
            "fax_number": "928-536-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CASA LINDA DRIVE",
            "address_2": "STE D",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "85939",
            "telephone_number": "928-536-4133",
            "fax_number": "928-536-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESTONE",
        "first_name": "CARL",
        "middle_name": "SKOUSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ PIN #",
            "identifier": "AZ09300070",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.