Active NPI
Michele Carter Ravenel, DMD
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1205950995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- ID0016
- Practice address
- 173 Ashley Ave
BSB 124 College of Dental Medicine
Charleston, SC 29425-0001 - Phone
- (843) 792-7258
- Fax
- (843) 792-2150
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ID0016 | SC | Primary |
Addresses
Primary practice location
173 Ashley Ave
BSB 124 College of Dental Medicine
Charleston, SC 29425-0001
Mailing address
1466 Headquarters Plantation Dr
Johns Island, SC 29455-3103
Phone (843) 557-0696
Other names 1
- Dr. Michele Aileen Carter
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 |
|---|---|---|---|
| ID0016 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205950995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 HEADQUARTERS PLANTATION DR",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294553103",
"telephone_number": "843-557-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 ASHLEY AVE",
"address_2": "BSB 124 COLLEGE OF DENTAL MEDICINE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294250001",
"telephone_number": "843-792-7258",
"fax_number": "843-792-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENEL",
"first_name": "MICHELE",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "ID0016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "CARTER",
"middle_name": "AILEEN",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.