Individual provider Active NPI

Parvin S Carter, D.D.S., M.A.G.D.

  • General Practice Dentistry
  • Redding, CA
National Provider Identifier
1104821354
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8376 Issued in IN
Practice address
4268 Boston Ave
Redding, CA 96001-5814
Phone
(530) 917-6628
Fax
(530) 917-6628
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8376 IN Primary
General Practice Dentistry 1223G0001X 53161 CA

Addresses

Primary practice location

4268 Boston Ave
Redding, CA 96001-5814

Mailing address

1667 Hilltop Dr
Ste 13
Redding, CA 96002-0240
Phone (530) 917-6628

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

LicenseStateTypeSpecialty
8376INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1104821354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 HILLTOP DR",
            "address_2": "STE 13",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020240",
            "telephone_number": "530-917-6628",
            "fax_number": "530-917-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 BOSTON AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015814",
            "telephone_number": "530-917-6628",
            "fax_number": "530-917-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PARVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8376",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.