Individual provider Active NPI

Roger Dominique Carter Jr

  • Radiologic Technologist
  • Columbus, OH
National Provider Identifier
1497694665
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Practice address
6240 Stockton Trail Way
Columbus, OH 43213-4464
Phone
(614) 603-1935
NPI assigned
Mar 25, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X OH Primary

Addresses

Primary practice location

6240 Stockton Trail Way
Columbus, OH 43213-4464

Mailing address

6240 Stockton Trail Way
Columbus, OH 43213-4464
Phone (614) 603-1935

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1497694665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 STOCKTON TRAIL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134464",
            "telephone_number": "614-603-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 STOCKTON TRAIL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134464",
            "telephone_number": "614-603-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER JR",
        "first_name": "ROGER",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.