Kenneth W. Carr

Primary specialty

SpecialistTaxonomy code 174400000X

License

G040398 Issued in CA

Legal business name

KENNETH W. CARR

Practice address

3231 Waring CT
#O
Oceanside, CA 92056-4510

Phone

(760) 941-9440

Fax

(760) 941-2790

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Emma Dorantes

Title

Office Manager

Phone

(760) 941-9440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carr Cardiology Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19256/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1649450248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 WARING CT",
            "address_2": "#O",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-941-9440",
            "fax_number": "760-941-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WARING CT",
            "address_2": "#O",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-941-9440",
            "fax_number": "760-941-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. CARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "DORANTES",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-941-9440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G040398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4986418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carr Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Kelley, MASTERS
• Matthew Thomas Kelly
• Monica A Kelly, LMFT
• Roxanne Kelly
• Kelly'S Caring Hands
• S Joshua Kenton
• Talar Kharadjian, MD
• Ammar Khashan, PA-C
• Yakov Khasidov, RPH
• Mehran Khazian, DDS

• Specialist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.