Active NPI
Carlos Jammar Privette, DDS
- Dentist
- Cary, NC
National Provider Identifier
1225047731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6901
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8990098 | Medicaid | NC | |
| 90098 | Other | NC | NC 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6901 | NC | MD | Dentist |
| 401008905 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Cary, NC
- NPI 1790956829
-
- General Practice Dentistry
- Cary, NC
- NPI 1609385780
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
- Private Diagnostic Clinic, PLLC (Duke Eye Center of Cary)
- Private Diagnostic Clinic, PLLC (Duke Perinatal Consultants-Cary)
- Private Diagnostic Clinic, PLLC (Duke Sports Medicine Green Level)
- Private Diagnostic Clinic, PLLC (Duke Children's Specialty Clinic of Cary)
- Private Diagnostic Clinic, PLLC (Capital Orthopedic & Sports Medicine)
- Kasey Privette
- Zynaijae Privette
- Jody Probert, M.S.W., L.C.S.W.
- Gregg Proctor IV
- Professional Audiology Group, LLC (Audiology & Hearing Center of Ave Maria)
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.