Active NPI
Carlton Cline
- Home Modifications Contractor
- Sapulpa, OK
National Provider Identifier
1861990665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 5022 W Hilton Rd
Sapulpa, OK 74066-1123 - Phone
- (918) 695-4835
- NPI assigned
- Jan 26, 2018
- 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
5022 W Hilton Rd
Sapulpa, OK 74066-1123
Mailing address
5022 W Hilton Rd
Sapulpa, OK 74066-1123
Phone (918) 695-4835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200514400A | Medicaid | OK |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlton Restoration and Construction, LLC | Home Modifications | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Modifications Contractor
- Sapulpa, OK
- NPI 1417456526
Home Modifications
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1861990665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 W HILTON RD",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740661123",
"telephone_number": "918-695-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 W HILTON RD",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740661123",
"telephone_number": "918-695-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "CARLTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"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": "200514400A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.