Individual provider Active NPI

Christopher B Carter, M.D.

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1962766840
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9225 Issued in AR
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

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 314 clinicians

Practice addresses (Care Compare)

2900 SE Moberly LN
Bentonville, AR 72712-3748
Phone (479) 273-1550

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rogers, AR, CCN 047149
  • Enhabit Home Health Home health agency, Springdale, AR, CCN 047172
  • Northwest Home Health Home health agency, Springdale, AR, CCN 047020
  • Circle of Life Hospice Hospice, Springdale, AR, CCN 041529
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-9225ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 17, 2015 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 17, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.