Active NPI
Kawanaa D Carter M D Inc
- Neurological Surgery Physician
- Carmichael, CA
National Provider Identifier
1427202076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A79538
- Legal business name
- KAWANAA D CARTER M D INC
- Doing business as
- Folsom Neurological Surgery
- Practice address
- 3659 Kiekebusch CT
Carmichael, CA 95608-2839 - Phone
- (916) 307-7857
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kawanaa D. Carter, MD
- Title
- Physician/President
- Phone
- (169) 307-7857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A79538 | CA | Primary |
Addresses
Primary practice location
3659 Kiekebusch CT
Carmichael, CA 95608-2839
Mailing address
3659 Kiekebusch CT
Carmichael, CA 95608-2839
Phone (916) 307-7857
Other names 1
- Folsom Neurological Surgery
National Provider Directory
National Provider DirectoryLocations
50 Iron Point Cir
Ste 210
Folsom, CA 95630
Phone (916) 817-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1427202076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3659 KIEKEBUSCH CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082839",
"telephone_number": "916-307-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 KIEKEBUSCH CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082839",
"telephone_number": "916-307-7857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAWANAA D CARTER M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "KAWANAA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "169-307-7857",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A79538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Folsom Neurological Surgery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Folsom Neurological Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.