Organization Active NPI

Carter Dermatology LLC

  • Dermatology Physician
  • Lawton, OK
National Provider Identifier
1023965902
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CARTER DERMATOLOGY LLC
Practice address
702 NW Sheridan Rd
Lawton, OK 73505-5203
Phone
(580) 576-3376
Fax
(580) 576-3375
NPI assigned
Mar 11, 2026
Organization subpart
Yes
Parent organization
CARTER DERMATOLOGY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Westley Alan CarterNPI 1578551412
Title
Owner/Physician
Phone
(580) 576-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Pediatric Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NP0225X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

702 NW Sheridan Rd
Lawton, OK 73505-5203

Mailing address

702 NW Sheridan Rd
Lawton, OK 73505-5203
Phone (580) 576-3376

Other practice location 1

205 S Park Ln
Altus, OK 73521-5755
Phone (580) 576-3376

Other identifiers 1

IdentifierTypeStateIssuer
20140390AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Carter Dermatology LLC3 organizations share this tax ID, including this one
Part of
Carter Dermatology LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1023965902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055203",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055203",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Park Ln",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735215755",
            "country_code": "US",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARTER DERMATOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARTER DERMATOLOGY LLC",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "WESTLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "580-576-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20140390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.