Organization Active NPI

Dennis J Carter DO PC

  • Family Medicine Physician
  • Poteau, OK
National Provider Identifier
1063444537
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2689 Issued in OK
Legal business name
DENNIS J CARTER DO PC
Practice address
1013 Dewey Ave
Poteau, OK 74953-4409
Phone
(918) 647-2929
Fax
(918) 647-2288
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dennis J Carter, D.O.
Title
Owner
Phone
(918) 647-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2689 OK Primary

Addresses

Primary practice location

1013 Dewey Ave
Poteau, OK 74953-4409

Mailing address

PO Box 1055
Poteau, OK 74953-1055
Phone (918) 647-2929

Other identifiers 3

IdentifierTypeStateIssuer
8P193OtherARARKANSAS BLUE CROSS BLUE SHIELD
DF2722OtherRAILROAD MEDICARE
200085280AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1013 Dewey Ave
Poteau, OK 74953
Phone (918) 647-2929

Practitioners & affiliated clinicians

Practitioners 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1063444537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1055",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531055",
            "telephone_number": "918-647-2929",
            "fax_number": "918-647-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534409",
            "telephone_number": "918-647-2929",
            "fax_number": "918-647-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J CARTER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-647-2929",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "8P193",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2722",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.