Active NPI
John Daniel Carter, M.D.
- Orthopaedic Surgery Physician
- Lufkin, TX
National Provider Identifier
1376629154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E2501
- Practice address
- 208 Gaslight Blvd
Suite 2
Lufkin, TX 75904-3166 - Phone
- (936) 634-8800
- Fax
- (936) 630-8875
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E2501 | TX | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | E2501 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | E2501 | TX | |
| Orthopaedic Trauma Physician | 207XX0801X | E2501 | TX |
Addresses
Primary practice location
208 Gaslight Blvd
Suite 2
Lufkin, TX 75904-3166
Mailing address
208 Gaslight Blvd
Suite 2
Lufkin, TX 75904-3166
Phone (936) 634-8800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089597103 | Medicaid | TX | |
| CS6860 | Other | TX | RAIL ROAD MEDICARE |
| 5577002001 | Other | TX | CIGNA |
| 116772 | Other | TX | SUPERIOR |
| 4413250 | Other | TX | AETNA |
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 |
|---|---|---|---|
| E2501 | TX | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1376629154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 GASLIGHT BLVD",
"address_2": "SUITE 2",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043166",
"telephone_number": "936-634-8800",
"fax_number": "936-630-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 GASLIGHT BLVD",
"address_2": "SUITE 2",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043166",
"telephone_number": "936-634-8800",
"fax_number": "936-630-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JOHN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E2501",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "E2501",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "E2501",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TX",
"license": "E2501",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089597103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CS6860",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5577002001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR",
"identifier": "116772",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4413250",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.