Portia Ellis Carter, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN011626 Issued in GA

Practice address

3614 Highlands Pkwy SE
Smyrna, GA 30082-5184

Phone

(770) 432-6070

Fax

(770) 432-5122

NPI assigned

Mar 18, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Be Orthodontics, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smyrna, GA
  • NPI 1811034671
  NPD (past) Authorized official

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1356683361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 VININGS RIDGE TRL SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265905",
            "telephone_number": "770-432-6070",
            "fax_number": "770-432-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "770-432-6070",
            "fax_number": "770-432-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PORTIA",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Faye Carlisle, NP
• Victoria Lord Carr, PA
• Jamie Lynn Carraway
• Laura Pierce Carrington, MT
• Emma Shearer Carter, LPC
• Turkessa Renee Carter
• Carters Pharmacy Ga LLC (Carters Pharmacy)
• Carters Pharmacy Ga LLC (Carters Pharmacy)
• David Carver, PHARMD
• Candace Cashbaugh

• Orthodontics and Dentofacial Orthopedics Dentistry in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.