Active NPI
Gary Anthony Carter, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Valley City, UT
National Provider Identifier
1003812116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 335041-9921
- Practice address
- 4645 S 4000 W Ste B
West Valley City, UT 84120-6250 - Phone
- (801) 955-1900
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 335041-9921 | UT | Primary |
Addresses
Primary practice location
4645 S 4000 W Ste B
West Valley City, UT 84120-6250
Mailing address
12207 S Wigwam LN
Draper, UT 84020-8855
Phone (385) 445-1777
Other practice location 1
10011 Centennial Pkwy
Ste 240
Sandy, UT 84070-4156
Phone (801) 255-9000
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335041-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Dental Professionals - Utah, PC | Current | Accepting new patients | |
| Gary a Carter, D.D.S., M.S., PC | Past | Accepting new patients |
Locations
4645 S 4000 W
Ste B
West Valley City, UT 84120
Phone (216) 264-6804
Organizations & group practices 2
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.
-
dba Orthodontic Specialists of Utah
- Dental Clinic/Center
- Sandy, UT
- NPI 1689722811
-
dba Monarch Dental - West Valley
- Dentist
- West Valley, UT
- NPI 1720485709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1003812116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12207 S WIGWAM LN",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208855",
"telephone_number": "385-445-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 S 4000 W STE B",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841206250",
"telephone_number": "801-955-1900"
}
],
"practiceLocations": [
{
"address_1": "10011 Centennial Pkwy",
"address_2": "Ste 240",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "UT",
"postal_code": "840704156",
"country_code": "US",
"telephone_number": "801-255-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "GARY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "335041-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.