NPIMap

Organization Active NPI

Carter Dental, PA

  • General Practice Dentistry
  • Boise, ID
National Provider Identifier
1366619694
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3384 Issued in ID
Legal business name
CARTER DENTAL, PA
Practice address
7878 Ustick Rd Ste 102
Boise, ID 83704-5006
Phone
(208) 376-6346
Fax
(208) 246-0508
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. W Jason Carter, DDS
Title
Owner/Dentist
Phone
(208) 376-6346

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D3384 ID Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D1401 ID
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D3693 ID

Addresses

Primary practice location

7878 Ustick Rd Ste 102
Boise, ID 83704-5006

Mailing address

7878 Ustick Rd Ste 102
Boise, ID 83704-5006
Phone (208) 376-6346

Other identifiers 2

IdentifierTypeStateIssuer
6I047OtherIDBLUE CROSS OF IDAHO
434421OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

7878 W Ustick Rd
#102
Boise, ID 83704
Phone (208) 376-6346

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1366619694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 USTICK RD STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045006",
            "telephone_number": "208-376-6346",
            "fax_number": "208-246-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 USTICK RD STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045006",
            "telephone_number": "208-376-6346",
            "fax_number": "208-246-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-376-6346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3384",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1401",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6I047",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "434421",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.