Individual provider Active NPI

Jeffrey B Carter, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
National Provider Identifier
1336117902
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4614 Issued in TN
Practice address
40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone
(615) 330-6988
NPI assigned
Mar 9, 2006
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1859284 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000431 VA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 17290 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10542 KY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11973 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.024329 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 38411 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4614 TN Primary

Addresses

Primary practice location

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902

Mailing address

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone (615) 330-6988

Other practice location 1

1286 E West Hwy
Silver Spring, MD 20910-3242
Phone (615) 330-6988

Other practice location 2

1286 E West Hwy Ste 200
Silver Spring, MD 20910-3242
Phone (615) 330-6988

Other identifiers 1

IdentifierTypeStateIssuer
3225491MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000178 TN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 4789668724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38411TXMDMental Health Counselor
10542KYMDOral and Maxillofacial Surgery (Dentist)
1859284MAMDOral and Maxillofacial Surgery (Dentist)
17290MDMDOral and Maxillofacial Surgery (Dentist)
30.024329OHMDOral and Maxillofacial Surgery (Dentist)
11973TNMDOral and Maxillofacial Surgery (Dentist)
0438000431VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgical Institute, P.C. Oral and Maxillofacial Surgery CurrentSince Jan 1, 1995 Accepting new patients
Oral Surgical Institute, P.C. Single Specialty Past Accepting new patients
Oral Surgical Institute, P.C. Single Specialty Past Accepting new patients
Donelson Smiles Dentistry, PC PastSince Feb 1, 2021 Accepting new patients

Locations

125 Cool Springs Blvd
Ste 120
Franklin, TN 37067
Phone (615) 778-0902

324 22nd Ave N
Nashville, TN 37203
Phone (615) 329-4401

500 28th Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-4401

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1336117902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-330-6988",
            "fax_number": "615-327-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-330-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1286 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103242",
            "country_code": "US",
            "telephone_number": "615-330-6988",
            "fax_number": "615-327-9612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1286 E West Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103242",
            "country_code": "US",
            "telephone_number": "615-330-6988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "1859284",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000431",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "17290",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "10542",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "11973",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.024329",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "38411",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "4614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.