Individual provider Active NPI

Karen Carney, D.D.S.

  • General Practice Dentistry
  • Jackson, MS
National Provider Identifier
1326404062
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1796-78 Issued in MS
Practice address
2189 Henry Hill Dr
Jackson, MS 39204-2125
Phone
(601) 922-3643
Fax
(601) 922-3645
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1796-78 MS Primary

Addresses

Primary practice location

2189 Henry Hill Dr
Jackson, MS 39204-2125

Mailing address

2189 Henry Hill Dr
Jackson, MS 39204-2125
Phone (601) 922-3643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20231227002578 MS Order and Referring Only - DentistPractitioner - Dentist 0042518581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1796-78MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harkins Family Dentistry, PLLC Past Accepting new patients
Karen Carney DDS PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kcarney50299@ummc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1326404062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 HENRY HILL DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042125",
            "telephone_number": "601-922-3643",
            "fax_number": "601-922-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 HENRY HILL DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042125",
            "telephone_number": "601-922-3643",
            "fax_number": "601-922-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KAREN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1796-78",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.