Active NPI
Charles Toby Carr
- Home Modifications Contractor
- Golden, CO
National Provider Identifier
1710107131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 19064 W 61St PL
Golden, CO 80403-1031 - Phone
- (303) 279-7077
- Fax
- (303) 279-1012
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
19064 W 61St PL
Golden, CO 80403-1031
Mailing address
19064 W 61St PL
Golden, CO 80403-1031
Phone (303) 279-7977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56308779 | Medicaid | CO |
Other names 1
- Mrs. Julie Kay Carr
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710107131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19064 W 61ST PL",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031031",
"telephone_number": "303-279-7977",
"fax_number": "303-279-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19064 W 61ST PL",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031031",
"telephone_number": "303-279-7077",
"fax_number": "303-279-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CHARLES",
"middle_name": "TOBY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56308779",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "CARR",
"middle_name": "KAY",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.