Thaddeus R. Carter, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN00201886 Issued in CO

Practice address

1350 S Aspen St.
Norwood, CO 81423

Phone

(970) 327-4233

Fax

(970) 327-4228

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apexx Dental Group LLC

  dba Open Dental Care

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1154126027
  NPD Authorized official
• Greeley Modern Dentistry, LLP

  dba Greeley Modern Dentistry

  • General Practice Dentistry
  • Greeley, CO
  • NPI 1750678439
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245244490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ASPEN ST.",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "81423",
            "telephone_number": "970-327-4233",
            "fax_number": "970-327-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7222 Commerce Center Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809192631",
            "country_code": "US",
            "telephone_number": "970-305-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "THADDEUS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00201886",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas L Avery, P.T.
• Andrew H Baker, M.D.
• Pamela Nichol Bray, RDH
• Andrew Glenn Brown, PA
• Julie Jean Carlson, MS
• Elizabeth E Davis, MSW
• Douglas L Avery PT Professional LLC
• Shelley Fourney, MSW, LSW, CSW
• Roberta Garrett
• Robert P Givens, LPC

• Dentist in Norwood, CO
• Providers in Norwood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.