Jeffrey Michael Carter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

036898 Issued in CA

Practice address

1112 Main St
Livingston, CA 95334

Phone

(209) 862-3003

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154529949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "95334",
            "telephone_number": "209-394-8383",
            "fax_number": "209-394-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "95334",
            "telephone_number": "209-862-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "036898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohit Bassi, RPH
• Susan Bath
• Ruth Elizabeth Cabral-Teixeira, D.M.D.
• Clark Campoy
• Angelica Maria Carranza, LCSW
• Brooke Morgan Casey, PHYSICIAN ASSISTANT
• Myriam E Castaneda, PA
• Janet Castellanos
• Stephanie Castillo, FNP
• Pradeep Chand, PHARMACIST

• Dentist in Livingston, CA
• Providers in Livingston, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.