Individual provider Active NPI

Tyler J Carter, MD

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1730117060
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30509 Issued in AZ
Practice address
600 S Dobson
Chandler, AZ 85224
Phone
(480) 814-1560
Fax
(480) 814-1799
NPI assigned
Jun 28, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30509 AZ Primary

Addresses

Primary practice location

600 S Dobson
Chandler, AZ 85224

Mailing address

4523 E Lamirada Way
Phoenix, AZ 85044
Phone (602) 438-0848

Other identifiers 1

IdentifierTypeStateIssuer
722571MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040127000335 AZ Practitioner - Family Practice 6406758663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30509AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care CurrentSince Jan 20, 2024 Accepting new patients
Southwest Phoenix Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Apache Junction Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Casa Grande Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Thomas Road Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Chandler Regional Medical Center Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients

Locations

20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468

4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000

File 56224
Los Angeles, CA 90074

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1730117060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 E LAMIRADA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "602-438-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-814-1560",
            "fax_number": "480-814-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722571",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.