NPI Code Detail JSON Logo

1336729250 NPI number — MATTHEW ALLEN CARTER

NPI Number: 1336729250
Health Care Provider/Practitioner: MATTHEW ALLEN CARTER

Information about “1336729250” NPI (MATTHEW ALLEN CARTER) exists in 1336729250 in HTML format HTML  |  1336729250 in plain Text format TXT  |  1336729250 in PDF (Portable Document Format) PDF  |  1336729250 in an XML format XML  formats.

NPI Number : 1336729250 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336729250",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARTER",
    "FirstName": "MATTHEW",
    "MiddleName": "ALLEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2301 TANGLEWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34239-4318",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-922-9205",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7360 55TH AVE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRADENTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34203-8000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-216-0855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2021",
    "LastUpdateDate": "04/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "OTA16640",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.