Individual provider Active NPI

Daniel Morgan Carter, D.M.D.

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1235443052
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8301 Issued in KY
Practice address
1906 College Heights Blvd # 21038
Academic Complex Room 408
Bowling Green, KY 42101-1000
Phone
(270) 745-2633
NPI assigned
Aug 4, 2010
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8301 KY Primary

Addresses

Primary practice location

1906 College Heights Blvd # 21038
Academic Complex Room 408
Bowling Green, KY 42101-1000

Mailing address

1906 College Heights Blvd # 21038
Academic Complex Room 408
Bowling Green, KY 42101-1000
Phone (270) 745-2633

Other identifiers 1

IdentifierTypeStateIssuer
60004033MedicaidKY

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
8301KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1235443052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD # 21038",
            "address_2": "ACADEMIC COMPLEX ROOM 408",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011000",
            "telephone_number": "270-745-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEGE HEIGHTS BLVD # 21038",
            "address_2": "ACADEMIC COMPLEX ROOM 408",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011000",
            "telephone_number": "270-745-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DANIEL",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60004033",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.