Organization Active NPI

James B Carr MD Inc

  • Orthopaedic Surgery of the Spine Physician
  • Templeton, CA
National Provider Identifier
1184813669
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A76013 Issued in CA
Legal business name
JAMES B CARR MD INC
Practice address
322 Posada LN Ste a
Templeton, CA 93465-4003
Phone
(805) 434-5555
Fax
(805) 591-3345
NPI assigned
Oct 19, 2007
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Kellie Kroeker
Title
Office Manager
Phone
(805) 434-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A76013 CA Primary

Addresses

Primary practice location

322 Posada LN Ste a
Templeton, CA 93465-4003

Mailing address

322 Posada LN Ste a
Templeton, CA 93465-4003
Phone (805) 434-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040120001118 CA Part B Supplier - Clinic/Group Practice 5799687885 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA; Templeton, CA
O20100930085142 CA DME Supplier - Physician - General Surgery 5799687885 Practice locations: Atascadero, CA

National Provider Directory

National Provider Directory

Locations

8844 Morro Rd
Atascadero, CA 93422
Phone (805) 329-6262

Practitioners & affiliated clinicians

Practitioners 1

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1184813669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 POSADA LN STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-434-5555",
            "fax_number": "805-591-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 POSADA LN STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-434-5555",
            "fax_number": "805-591-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B CARR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "KROEKER",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-434-5555"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A76013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.