J. Carlton Enterprises, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02-366280-00-8 Issued in NM

Legal business name

J. CARLTON ENTERPRISES, LLC.

Practice address

3715 Hawkins St NE Ste a
Albuquerque, NM 87109-4555

Phone

(505) 344-9933

Fax

(505) 344-9955

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery C Centers

Title

President

Phone

(505) 344-9933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861553893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 HAWKINS ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094555",
            "telephone_number": "505-344-9933",
            "fax_number": "505-344-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 HAWKINS ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094555",
            "telephone_number": "505-344-9933",
            "fax_number": "505-344-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CARLTON ENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENTERS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-344-9933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "02-366280-00-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R6068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.