Individual provider Active NPI

Karen Dixon Carrington, MD

  • Pediatric Adolescent Medicine Physician
  • Temple Hills, MD
National Provider Identifier
1245310002
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D0019511 Issued in MD
Practice address
4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854
Phone
(301) 702-3049
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0019511 MD Primary

Addresses

Primary practice location

4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854

Mailing address

4467 Old Branch Ave 103
Temple Hills, MD 20748
Phone (301) 702-3049

Other identifiers 1

IdentifierTypeStateIssuer
132631700MedicaidMD

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0019511MDMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245310002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "301-702-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-702-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "KAREN",
        "middle_name": "DIXON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0019511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132631700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.