Organization Active NPI

Charles J Carter DDS PC

  • Dental Clinic/Center
  • Athens, GA
National Provider Identifier
1356466122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHARLES J CARTER DDS PC
Practice address
855 Sunset Dr
Suite 10
Athens, GA 30606-7718
Phone
(706) 549-1370
Fax
(706) 549-7668
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles J Carter, D.D.S.NPI 1174655286
Title
Pres
Phone
(706) 549-1370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

855 Sunset Dr
Suite 10
Athens, GA 30606-7718

Mailing address

855 Sunset Dr
Suite 10
Athens, GA 30606-7718
Phone (706) 549-1370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356466122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "SUITE 10",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-549-1370",
            "fax_number": "706-549-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SUNSET DR",
            "address_2": "SUITE 10",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067718",
            "telephone_number": "706-549-1370",
            "fax_number": "706-549-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J CARTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "706-549-1370",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.