Organization Active NPI

Kawanaa D Carter M D Inc

  • Neurological Surgery Physician
  • Carmichael, CA
National Provider Identifier
1427202076
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A79538 Issued in CA
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

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.