NPIMap

Organization Active NPI

Craig M. Carter D.D.S., S.C.

  • General Practice Dentistry
  • Monroe, WI
National Provider Identifier
1033322367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3142 Issued in WI
Legal business name
CRAIG M. CARTER D.D.S., S.C.
Practice address
912 16TH Ave
Monroe, WI 53566-1762
Phone
(608) 325-6661
Fax
(608) 329-4361
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig M Carter, D.D.S.NPI 1629061197
Title
President
Phone
(608) 325-6661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3142 WI Primary

Addresses

Primary practice location

912 16TH Ave
Monroe, WI 53566-1762

Mailing address

912 16TH Ave
P.O. Box 140
Monroe, WI 53566-1762
Phone (608) 325-6661

Other identifiers 1

IdentifierTypeStateIssuer
33452600MedicaidWI

National Provider Directory

National Provider Directory

Locations

912 16th Ave
Monroe, WI 53566
Phone (608) 325-6661

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033322367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 16TH AVE",
            "address_2": "P.O. BOX 140",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661762",
            "telephone_number": "608-325-6661",
            "fax_number": "608-329-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 16TH AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661762",
            "telephone_number": "608-325-6661",
            "fax_number": "608-329-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG M. CARTER D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-325-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33452600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.