Active NPI
John Daniel Carr, M.D.
- Internal Medicine Physician
- Palm Desert, CA
National Provider Identifier
1336178649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9800208
- Practice address
- 73345 Highway 111
Suite 203
Palm Desert, CA 92260-3909 - Phone
- (760) 836-3232
- Fax
- (760) 836-3234
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9800208 | NC | Primary |
Addresses
Primary practice location
73345 Highway 111
Suite 203
Palm Desert, CA 92260-3909
Mailing address
132 Racquet Club Dr
Rancho Mirage, CA 92270-1461
Phone (760) 321-6145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9800208 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mooresville Hma Physician Management, Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11678/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 and National Provider Directory roles.
-
- Specialist
- Mooresville, NC
- NPI 1356357727
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336178649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 RACQUET CLUB DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701461",
"telephone_number": "760-321-6145",
"fax_number": "760-836-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73345 HIGHWAY 111",
"address_2": "SUITE 203",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603909",
"telephone_number": "760-836-3232",
"fax_number": "760-836-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "JOHN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9800208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.