Organization Active NPI

Jerry Carter D.M.D., PA

  • Dentist
  • Morganton, NC
National Provider Identifier
1184812042
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1361 Issued in NC
Legal business name
JERRY CARTER D.M.D., PA
Practice address
222 W Union St
Morganton, NC 28655-3787
Phone
(828) 433-8724
Fax
(828) 433-0900
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Jerry E. Carter, D.M.D.
Title
Owner
Phone
(282) 433-8724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1361 NC Primary

Addresses

Primary practice location

222 W Union St
Morganton, NC 28655-3787

Mailing address

222 W Union St
Morganton, NC 28655-3787
Phone (828) 433-8724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1184812042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553787",
            "telephone_number": "828-433-8724",
            "fax_number": "828-433-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553787",
            "telephone_number": "828-433-8724",
            "fax_number": "828-433-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY CARTER D.M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "282-433-8724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.