Active NPI
Van Burwell McCarter, D.D.S.
- Public Health Dentistry
- Salem, VA
National Provider Identifier
1023122868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 0401005694
- Practice address
- 105 E Calhoun St
Salem, VA 24153-3838 - Phone
- (540) 387-5530
- NPI assigned
- Aug 18, 2006
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0401005694 | VA | Primary |
Addresses
Primary practice location
105 E Calhoun St
Salem, VA 24153-3838
Mailing address
105 E Calhoun St
Salem, VA 24153-3838
Phone (540) 387-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008410 | Other | VA | DORAL I.D. NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005694 | VA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023122868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E CALHOUN ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533838",
"telephone_number": "540-387-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E CALHOUN ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533838",
"telephone_number": "540-387-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTER",
"first_name": "VAN",
"middle_name": "BURWELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "VA",
"license": "0401005694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL I.D. NUMBER",
"identifier": "008410",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.