Individual provider Active NPI

Carlos Jammar Privette, DDS

  • Dentist
  • Cary, NC
National Provider Identifier
1225047731
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6901 Issued in NC
Practice address
970 Northwoods Dr
Cary, NC 27513-3803
Phone
(919) 465-0799
Fax
(919) 465-0797
NPI assigned
Aug 5, 2006
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6901 NC Primary
Dentist 122300000X 401008905 VA

Addresses

Primary practice location

970 Northwoods Dr
Cary, NC 27513-3803

Mailing address

970 Northwoods Dr
Cary, NC 27513-3803
Phone (919) 465-0799

Other identifiers 2

IdentifierTypeStateIssuer
8990098MedicaidNC
90098OtherNCNC HEALTH CHOICE

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

LicenseStateTypeSpecialty
6901NCMDDentist
401008905VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vaghani DDS PLLC, Dba Zen Triangle Dentistry Past Accepting new patients
Dr. Privette & Associates, PA Dentist Past Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1225047731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NORTHWOODS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133803",
            "telephone_number": "919-465-0799",
            "fax_number": "919-465-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NORTHWOODS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133803",
            "telephone_number": "919-465-0799",
            "fax_number": "919-465-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "CARLOS",
        "middle_name": "JAMMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6901",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401008905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990098",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "90098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.