NPIMap

Organization Active NPI

Carter Dermatology LLC

  • Dermatology Physician
  • Lawton, OK
National Provider Identifier
1467242297
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CARTER DERMATOLOGY LLC
Practice address
702 NW Sheridan Rd
Lawton, OK 73505-5203
Phone
(580) 678-2072
NPI assigned
May 6, 2025
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Westley Alan CarterNPI 1578551412
Title
Physician
Phone
(580) 576-3376

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery Physician 207ND0101X
Pediatric Dermatology Physician 207NP0225X
Procedural Dermatology Physician 207NS0135X

Addresses

Primary practice location

702 NW Sheridan Rd
Lawton, OK 73505-5203

Mailing address

702 NW Sheridan Rd
Lawton, OK 73505-5203
Phone (580) 576-3376

Other practice location 1

2100 W Iowa Ave
Chickasha, OK 73018-2736
Phone (580) 576-3376

Other practice location 2

205 S Park Ln Ste 330
Altus, OK 73521-5755
Phone (580) 576-3376

Other names 1

  • Carter Dermatology LLC - Lawton Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805002176 OK Part B Supplier - Clinic/Group Practice 4183132624 Receives reassigned benefits from 2 practitioners
Practice locations: Lawton, OK

National Provider Directory

National Provider Directory
Tax ID family
Carter Dermatology LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 S Park Ln
Ste 330
Altus, OK 73521
Phone (580) 576-3376

702 NW Sheridan Rd
Lawton, OK 73505
Phone (580) 576-3376

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1467242297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055203",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055203",
            "telephone_number": "580-678-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182736",
            "country_code": "US",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Park Ln Ste 330",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735215755",
            "country_code": "US",
            "telephone_number": "580-576-3376",
            "fax_number": "580-576-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARTER DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "WESTLEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-576-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carter Dermatology LLC - Lawton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.