Active NPI
John Lawerence Carter III
- General Practice Dentistry
- Midland, MI
National Provider Identifier
1346229804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11016
- Practice address
- 555 W Wackerly St
Suite 3900
Midland, MI 48640-4722 - Phone
- (989) 631-8040
- Fax
- (989) 839-8880
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11016 | MI | Primary |
Addresses
Primary practice location
555 W Wackerly St
Suite 3900
Midland, MI 48640-4722
Mailing address
555 W Wackerly St
Suite 3900
Midland, MI 48640-4722
Phone (989) 631-8040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John L Carter III DDS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Midland, MI
- NPI 1861998353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1346229804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W WACKERLY ST",
"address_2": "SUITE 3900",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404722",
"telephone_number": "989-631-8040",
"fax_number": "989-839-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W WACKERLY ST",
"address_2": "SUITE 3900",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404722",
"telephone_number": "989-631-8040",
"fax_number": "989-839-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JOHN",
"middle_name": "LAWERENCE",
"name_prefix": "Dr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "11016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.