Active NPI
Carter Craig Melendez-Christensen, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Lexington, KY
National Provider Identifier
1366094708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 1209
- Practice address
- 3159 Beaumont Centre Cir Ste 110
Lexington, KY 40513-1968 - Phone
- (859) 278-9376
- Fax
- (859) 276-0260
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1209 | KY | Primary |
Addresses
Primary practice location
3159 Beaumont Centre Cir Ste 110
Lexington, KY 40513-1968
Mailing address
3159 Beaumont Centre Cir Ste 110
Lexington, KY 40513-1968
Phone (859) 278-9376
Other practice location 1
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-6637
Other practice location 2
2424 Sir Barton Way Ste 375
Lexington, KY 40509-2747
Phone (859) 207-4790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Center for Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Kentucky Center for Oral & Maxillofacial Surgery PSC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Kentucky Center for Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Kentucky Center for Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Kentucky Center for Oral & Maxillofacial Surgery PSC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Kentucky Center for Oral & Maxillofacial Surgery PSC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lexington, KY
- NPI 1053453043
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lexington, KY
- NPI 1457847691
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Richmond, KY
- NPI 1740323633
-
- Oral and Maxillofacial Surgery (Dentist)
- Lexington, KY
- NPI 1245882349
-
- Oral and Maxillofacial Surgery (Dentist)
- Lexington, KY
- NPI 1437177375
-
- Oral and Maxillofacial Surgery (Dentist)
- Richmond, KY
- NPI 1457379307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1366094708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 BEAUMONT CENTRE CIR STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131968",
"telephone_number": "859-278-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3159 BEAUMONT CENTRE CIR STE 110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131968",
"telephone_number": "859-278-9376",
"fax_number": "859-276-0260"
}
],
"practiceLocations": [
{
"address_1": "611 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012529",
"country_code": "US",
"telephone_number": "217-383-6637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 Sir Barton Way Ste 375",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092747",
"country_code": "US",
"telephone_number": "859-207-4790",
"fax_number": "859-340-1928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELENDEZ-CHRISTENSEN",
"first_name": "CARTER",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.