Carter L Blevins DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4201 Issued in KY

Legal business name

CARTER L BLEVINS DMD

Practice address

176 Southport Drive
Somerset, KY 42501-4149

Phone

(606) 679-7562

Fax

(606) 677-2557

NPI assigned

Feb 8, 2007

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carter L Blevins, DMDNPI 1689730418

Title

Owner Oral Surgeon

Phone

(606) 679-7562

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carter L Blevins, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Somerset, KY
  • NPI 1689730418
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1073653853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SOUTHPORT DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014149",
            "telephone_number": "606-679-7562",
            "fax_number": "606-677-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SOUTHPORT DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014149",
            "telephone_number": "606-679-7562",
            "fax_number": "606-677-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER L BLEVINS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER ORAL SURGEON",
        "authorized_official_telephone_number": "606-679-7562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60042017",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MEDICAL",
            "identifier": "64042013",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000217071",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Carmical, PHARMD
• Shanae Lucinda Carpenter, LPCC
• Dana Carrera, LPCC
• William E Carroll, DMD, MS
• Sarah Madison Carson, REGISTERED NURSE
• Allison Cummins Caruso, LHIS
• Jennifer Sue Carver, APRN
• Melissa K Casada, LPN
• Rodney Wayne Casada, D.C.
• Christina Case

• Oral and Maxillofacial Surgery (Dentist) in Somerset, KY
• Providers in Somerset, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.