Organization Active NPI

Adam C Carter Mdpa

  • Physical Medicine & Rehabilitation Physician
  • Flower Mound, TX
National Provider Identifier
1366734428
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N9177 Issued in TX
Legal business name
ADAM C CARTER MDPA
Practice address
3100 Peters Colony Rd
Flower Mound, TX 75022-2949
Phone
(469) 601-7174
NPI assigned
May 9, 2011
Last updated
Aug 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Adam C Carter, M.D.NPI 1982669610
Title
President
Phone
(631) 764-7492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N9177 TX Primary

Addresses

Primary practice location

3100 Peters Colony Rd
Flower Mound, TX 75022-2949

Mailing address

PO Box 671080
Dallas, TX 75267-1080
Phone (817) 284-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000195 TX Part B Supplier - Clinic/Group Practice 2961645965 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory
Tax ID family
Adam C Carter Mdpa2 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

1024 N Galloway Ave
#134
Mesquite, TX 75149
Phone (972) 285-2900

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1366734428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671080",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671080",
            "telephone_number": "817-284-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PETERS COLONY RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222949",
            "telephone_number": "469-601-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM C CARTER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-764-7492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N9177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.