Individual provider Active NPI

Michael H Carstens, MD

  • Plastic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1144328493
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
149167 Issued in NC
Practice address
1719 South Blvd # B
Charlotte, NC 28203-4727
Phone
(704) 375-2955
Fax
(704) 377-2766
NPI assigned
Sep 20, 2006
Last updated
May 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 149167 NC Primary

Addresses

Primary practice location

1719 South Blvd # B
Charlotte, NC 28203-4727

Mailing address

1719 South Blvd # B
Charlotte, NC 28203-4727
Phone (704) 375-2955

Other identifiers 1

IdentifierTypeStateIssuer
208431809MedicaidMO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
149167NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C Matthews MD PA Plastic Surgery PastSince Jan 1, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12631/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1144328493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 SOUTH BLVD # B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034727",
            "telephone_number": "704-375-2955",
            "fax_number": "704-377-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 SOUTH BLVD # B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034727",
            "telephone_number": "704-375-2955",
            "fax_number": "704-377-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENS",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "149167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208431809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.