Organization Active NPI

Douglas Vincent Carter, Inc.

  • Surgical Technologist
  • Joliet, IL
National Provider Identifier
1134498645
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
238000300 Issued in IL
Legal business name
DOUGLAS VINCENT CARTER, INC.
Practice address
503 N Raynor Ave
Joliet, IL 60435-6025
Phone
(815) 740-1987
Fax
(815) 740-1994
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mr. Douglas V Carter, RN, RSA, CSANPI 1770599946
Title
Owner
Phone
(815) 740-1987

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X 238000300 IL Primary

Addresses

Primary practice location

503 N Raynor Ave
Joliet, IL 60435-6025

Mailing address

503 N Raynor Ave
Joliet, IL 60435-6025
Phone (815) 740-1987

National Provider Directory

National Provider Directory

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1134498645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N RAYNOR AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356025",
            "telephone_number": "815-740-1987",
            "fax_number": "815-740-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N RAYNOR AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356025",
            "telephone_number": "815-740-1987",
            "fax_number": "815-740-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS VINCENT CARTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-740-1987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, RSA, CSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238000300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.