Active NPI
Corey A Carter, S.A.
- Surgical Assistant
- Roswell, NM
National Provider Identifier
1902310022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 117 E 19TH Street
Roswell, NM 88201 - Phone
- (575) 627-7000
- NPI assigned
- Nov 28, 2017
- Last updated
- Mar 17, 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
117 E 19TH Street
Roswell, NM 88201
Mailing address
117 E 19TH St
Roswell, NM 88201-5151
Other practice location 1
708 Twin Diamond Rd
Roswell, NM 88201
Phone (575) 910-3443
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": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1902310022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E 19TH ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 19TH STREET",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "575-627-7000"
}
],
"practiceLocations": [
{
"address_1": "708 Twin Diamond Rd",
"address_purpose": "LOCATION",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"country_code": "US",
"telephone_number": "575-910-3443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "COREY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "S.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
- Amanda Ashley Carrillo, LMSW
- Cassandra M Carrillo, LCSW
- Julianna Carrillo
- Karen Lynne Carson, M.D.
- Barry C Carter, O.D.
- Michele Leigh Carter, DDS
- Robert Trent Carter, APRN, FNP, CARN-AP
- Casa Maria Healthcare LLC
- Casa Maria of New Mexico LLC (Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites)
- Case Anesthesia, PC (DBA Gerard Desjardins, CRNA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.