Individual provider Active NPI

Jeremias Dewayne Carter

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1396434775
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Practice address
800 N Rainbow Blvd Ste 145
Las Vegas, NV 89107-1191
Phone
(725) 204-9155
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NV Primary

Addresses

Primary practice location

800 N Rainbow Blvd Ste 145
Las Vegas, NV 89107-1191

Mailing address

800 N Rainbow Blvd Ste 145
Las Vegas, NV 89107-1191
Phone (725) 204-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Change for the Better, LLC Current Accepting new patients
Hatter & Golston Associates, LLC CurrentSince May 7, 2023 Accepting new patients

Locations

11111 N Scottsdale Rd
Ste 205F
Scottsdale, AZ 85254
Phone (602) 767-2440

800 N Rainbow Blvd
Ste 145
Las Vegas, NV 89107
Phone (702) 213-0007

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1396434775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071191",
            "telephone_number": "725-204-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071191",
            "telephone_number": "725-204-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEREMIAS",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.