Active NPI
Douglas Carr, CADC-I
- Addiction (Substance Use Disorder) Counselor
- Dixon, CA
National Provider Identifier
1043480791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C4003007
- Practice address
- 255 N Lincoln St
Dixon, CA 95620-3238 - Phone
- (707) 693-1733
- Fax
- (707) 693-1705
- NPI assigned
- Mar 10, 2008
- Last updated
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C4003007 | CA | Primary |
Addresses
Primary practice location
255 N Lincoln St
Dixon, CA 95620-3238
Mailing address
255 N Lincoln St
Dixon, CA 95620-3238
Phone (707) 693-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836 | Other | CA | DRUG MEDICAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4003007 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1043480791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N LINCOLN ST",
"city": "DIXON",
"state": "CA",
"postal_code": "956203238",
"telephone_number": "707-693-1733",
"fax_number": "707-693-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N LINCOLN ST",
"city": "DIXON",
"state": "CA",
"postal_code": "956203238",
"telephone_number": "707-693-1733",
"fax_number": "707-693-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "DOUGLAS",
"credential": "CADC-I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C4003007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDICAL",
"identifier": "4836",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dixon, CA
- Kaylee Bubar
- Martin Bui, PHARMD
- Jaime Gloria Caluya, B.PHARM
- Stacey Rose Cames, M.A., CCC-SLP
- Mary Angelle Cargill, NP
- Central Valley Physical Therapy, a Professional Corporation
- Komal Preet Cheema, DDS
- Chin-Ling Chen, MS RD
- Christian Care Concept, LLC (Solano Life House)
- Chunhua Chilton DDS Inc (Dixon plaza dental care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.