Individual provider Active NPI

Dexter Armond Carter

  • Durable Medical Equipment & Medical Supplies
  • Stevenson, AL
National Provider Identifier
1902486723
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
85 Bank St
Stevenson, AL 35772-3781
Phone
(256) 437-9717
Fax
(256) 437-0803
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

85 Bank St
Stevenson, AL 35772-3781

Mailing address

805 Turner Ave SE
Fort Payne, AL 35967-5040
Phone (256) 254-9170

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stevenson

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

OrganizationSpecialtyStatusNew patients
Carters Care CurrentSince Apr 10, 2022 Accepting new patients

Locations

85 Bank St
Stevenson, AL 35772
Phone (256) 437-2248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1902486723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TURNER AVE SE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675040",
            "telephone_number": "256-254-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BANK ST",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357723781",
            "telephone_number": "256-437-9717",
            "fax_number": "256-437-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DEXTER",
        "middle_name": "ARMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stevenson",
            "affiliation": "N",
            "address_1": "85 Bank St",
            "city": "Stevenson",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357723781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stevenson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.