KAITLYN CARROLL DC
NPI 1235619354
Chiropractor in Mt Pleasant, SC

Active since August 17, 2018
1131 QUEENSBOROUGH BLVD STE 101, MT PLEASANT, SC 29464(843) 972-2174 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Kaitlyn Carroll Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN CARROLL DC (NPI 1235619354) is an individual chiropractor in Mt Pleasant, South Carolina, licensed in South Carolina (4356) and active in the NPI registry since August 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1235619354
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKAITLYN CARROLLCredential: DC
Location Address1131 QUEENSBOROUGH BLVD STE 101Mt Pleasant, SC 29464-5430
Mailing Address1131 Queensborough Blvd Ste 101Mt Pleasant, SC 29464-5430 · (843) 972-2174
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 17, 2018
Last NPPES UpdateJanuary 20, 20202 updates tracked since enumeration
NPI 1235619354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · 4356
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1131 QUEENSBOROUGH BLVD STE 101, Mt Pleasant, SC 29464

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlyn Carroll Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052732161
PECOS Enrollment IDI20200528000161

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1131 QUEENSBOROUGH BLVD STE 101
MT PLEASANT, SC 29464
Clinic/Center (Physical Therapy)
1131 QUEENSBOROUGH BLVD STE 101
MT PLEASANT, SC 29464
Chiropractor
1131 QUEENSBOROUGH BLVD STE 101
MT PLEASANT, SC 29464
Chiropractor
1131 QUEENSBOROUGH BLVD STE 101
MT PLEASANT, SC 29464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235619354, enumerated as an "individual" on August 17, 2018.

The provider is located at 1131 QUEENSBOROUGH BLVD STE 101 MT PLEASANT, SC 29464 and the phone number is (843) 972-2174.

Chiropractor with taxonomy code 111N00000X.