Provider Demographics
NPI:1225176936
Name:CARTER, JOSHUA SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:SCOTT
Last Name:CARTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 1ST ST NW STE A
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-3118
Mailing Address - Country:US
Mailing Address - Phone:701-663-2992
Mailing Address - Fax:
Practice Address - Street 1:408 1ST ST NW STE A
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-3118
Practice Address - Country:US
Practice Address - Phone:701-663-2992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12388Medicaid
ND21888Medicare PIN
ND12388Medicaid