Jill Mary Carter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6367-15 Issued in WI

Practice address

2926 Finger Rd
Green Bay, WI 54311-7548

Phone

(920) 468-8085

NPI assigned

Dec 13, 2006

Last updated

May 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• Sunridge Dental LLC

  • Dentist
  • Green Bay, WI
  • NPI 1891172425
  NPD (past) Authorized official
• James M Spitzer D.D.S. S.C.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1922135599
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1346302916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117548",
            "telephone_number": "920-468-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117548",
            "telephone_number": "920-468-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JILL",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6367-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence John Carpenter, MS CCC
• Patrick M Carrigan, MD
• Dana L Carroll, APNP
• Chad Alan Carter, LAT ATC
• Chelsea E Carter
• Kristy L Carter, PT
• Seanah A Carter, APSW
• Celeste Elaine Case, MD
• Paul D Casey, M.D.
• Ferdinand C Casis, MD,FACE

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.