Dallas Arthur Carter, MD
Individual provider Active NPI Family Medicine Physician · Coos Bay, OR
NPI 1972587764 · NPPES record last updated May 20, 2013
Key facts
- NPI
- 1972587764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD18088 (OR)
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-0000 - Phone
- (541) 267-5151
- Fax
- (541) 266-4520
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Bend Medical Center Inc
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Hospital & facility affiliations
- Oregon Coast Home Health
- Pacific Home Health and Hospice
- South Coast Hospice
- Bay Area Hospital
- Life Care Center of Coos Bay
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 43 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050201000195 | OR | Practitioner - Family Practice | 8022068857 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18088 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current |
Accepting new patients | |
| North Bend Medical Center Inc | Current |
Accepting new patients | |
| Palliative Care Services, Inc. | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
Interoperability endpoints
- dcarter124323@secure.stcharleshealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD18088 | OR | Yes |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-0000
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-0000
Phone (541) 267-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| R0000WFBTV | Other | OR | GROUP PIN NUMBER |
| P00281134 | Other | OR | RR MEDICARE PTAN NUMBER |
| 052410 | Medicaid | OR | |
| 1407812365 | Other | OR | NBMC NPI NUMBER-GROUP |
| 930635514 | Other | OR | GROUP TAX ID |
| MD18088 | Other | OR | MEDICAL LICENSE OREGON |
Other providers in Coos Bay, OR
- Donald M. Canavan
- Kerry A. Cannon
- Steven Cannon
- Daniel Carlson
- Randall Carman
- Gregory Carver
- Cascade Regional
- Rodney Scott Case
- Nicole Casthely
- Nicole Marie Castro
All providers in Coos Bay, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.