NPIMap

Organization Active NPI

Dr Barney W Carter DMD PC

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1154838266
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR BARNEY W CARTER DMD PC
Practice address
3900 Eubank Blvd NE Ste 19
Albuquerque, NM 87111-3427
Phone
(505) 299-1714
Fax
(505) 299-0018
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Ms. Rachael Christine Severinghaus
Title
Office Admin
Phone
(505) 299-1714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NM Primary

Addresses

Primary practice location

3900 Eubank Blvd NE Ste 19
Albuquerque, NM 87111-3427

Mailing address

3900 Eubank Blvd NE Ste 19
Albuquerque, NM 87111-3427
Phone (505) 299-1714

Other identifiers 1

IdentifierTypeStateIssuer
97573018MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Dr Barney Carter DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3900 Eubank Blvd NE
Ste 19
Albuquerque, NM 87111
Phone (505) 299-1714

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1154838266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE STE 19",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-299-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE STE 19",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-299-1714",
            "fax_number": "505-299-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARNEY W CARTER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "SEVERINGHAUS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "505-299-1714",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97573018",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.