Active NPI
Tyler Lane Carter, DDS
- Pediatric Dentistry
- Chandler, AZ
National Provider Identifier
1174700264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D5929
- Practice address
- 3220 S Gilbert Rd
Suite#1
Chandler, AZ 85286-5109 - Phone
- (480) 388-9515
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D5929 | AZ | Primary |
Addresses
Primary practice location
3220 S Gilbert Rd
Suite#1
Chandler, AZ 85286-5109
Mailing address
3220 S Gilbert Rd
Suite#1
Chandler, AZ 85286-5109
Phone (480) 388-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 955908 | Other | AR | AHCCCS PROVIDER # |
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 |
|---|---|---|---|
| D5929 | AZ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1174700264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 S GILBERT RD",
"address_2": "SUITE#1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865109",
"telephone_number": "480-388-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 S GILBERT RD",
"address_2": "SUITE#1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852865109",
"telephone_number": "480-388-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TYLER",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D5929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PROVIDER #",
"identifier": "955908",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.