Individual provider Active NPI

David P Carter, MD

  • Family Medicine Physician
  • Fall River, MA
National Provider Identifier
1487698833
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C44704 Issued in MA
Practice address
386 Stanley St
Fall River, MA 02720-6009
Phone
(508) 675-1054
Fax
(508) 324-7777
NPI assigned
Jun 16, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5623 RI
Family Medicine Physician 207Q00000X C44704 MA Primary

Addresses

Primary practice location

386 Stanley St
Fall River, MA 02720-6009

Mailing address

400 Stanley St
Fall River, MA 02720-6009
Phone (508) 675-1054

Other identifiers 1

IdentifierTypeStateIssuer
110027989CMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430002153 MA Practitioner - Family Practice 2567548654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 324-3550

400 Stanley St
Fall River, MA 02720-6009
Phone (508) 675-1054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C44704MAMDFamily Medicine Physician
5623RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley Street Treatment and Resources, Inc Family Medicine CurrentSince Aug 8, 2023 Accepting new patients
Stanley Street Treatment and Resources, Inc. Current Accepting new patients
Stanley Street Treatment and Resources, Inc CurrentSince Aug 8, 2023 Accepting new patients
Family Medicine Specialists Inc Family Medicine PastSince Jan 1, 2008 Accepting new patients

Locations

386 Stanley St
Fall River, MA 02720
Phone (508) 324-3550

400 Stanley St
Fall River, MA 02720
Phone (508) 675-1054

Interoperability endpoints

  • Direct secure messaging: david.carter@direct.sstar.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1487698833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "5623",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "C44704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027989C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.