Active NPI
Christopher B Carter, M.D.
- Family Medicine Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-9225
- Practice address
- 2900 SE Moberly LN
Bentonville, AR 72712-3748 - Phone
- (479) 273-1550
- Fax
- (479) 273-3330
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-9225 | AR | Primary |
Addresses
Primary practice location
2900 SE Moberly LN
Bentonville, AR 72712-3748
Mailing address
2900 SE Moberly LN
Bentonville, AR 72712-3748
Phone (479) 273-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915000926 | AR | Practitioner - Family Practice | 2163642737 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
2900 SE Moberly LN
Bentonville, AR 72712-3748
Phone (479) 273-1550
Hospital & facility affiliations
- Mercy Home Health
- Enhabit Home Health
- Northwest Home Health
- Circle of Life Hospice
- Mercy Hospital Northwest Arkansas
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9225 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
2900 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 273-1550
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
Interoperability endpoints
- ccarter709147@directc.mercy.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
AR
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Otolaryngology Physician
- Rogers, AR
- NPI 1508167677
-
- Surgery Physician
- Rogers, AR
- NPI 1538460662
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Urology Physician
- Rogers, AR
- NPI 1760887582
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springdale, AR
- NPI 1215314299
-
- Home Health Agency
- Rogers, AR
- NPI 1942265160
-
- Home Health Agency
- Springdale, AR
- NPI 1033161880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1962766840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SE MOBERLY LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123748",
"telephone_number": "479-273-1550",
"fax_number": "479-273-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 SE MOBERLY LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123748",
"telephone_number": "479-273-1550",
"fax_number": "479-273-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-9225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.