Active NPI
James Carey, D.M.D.
- General Practice Dentistry
- Kennewick, WA
National Provider Identifier
1205958196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9074
- Practice address
- 419 N Yelm St
Kennewick, WA 99336-3001 - Phone
- (509) 783-9895
- Fax
- (509) 783-0806
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 9074 | WA | Primary |
Addresses
Primary practice location
419 N Yelm St
Kennewick, WA 99336-3001
Mailing address
419 N Yelm St
Kennewick, WA 99336-3001
Phone (509) 783-9895
Other names 1
- Jim Carey
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 |
|---|---|---|---|
| 9074 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt and Carey PS | General Practice | Current | Accepting new patients |
| Paradise Family Dental | Current | Accepting new patients |
Locations
419 N Yelm St
Kennewick, WA 99336
Phone (509) 783-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205958196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-9895",
"fax_number": "509-783-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-9895",
"fax_number": "509-783-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "JAMES",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "9074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "CAREY",
"credential": "D.M.D.",
"code": "5",
"type": "Other Name"
}
]
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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.