Active NPI
Colleen W Carter, DDS, PA
- General Practice Dentistry
- Kannapolis, NC
National Provider Identifier
1396872008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6466
- Practice address
- 1408 S Main St
Kannapolis, NC 28081-5904 - Phone
- (704) 933-2115
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6466 | NC | Primary |
Addresses
Primary practice location
1408 S Main St
Kannapolis, NC 28081-5904
Mailing address
1408 S Main St
Kannapolis, NC 28081-5904
Phone (704) 933-2115
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6466 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1396872008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 S MAIN ST",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280815904",
"telephone_number": "704-933-2115",
"fax_number": "704-544-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 S MAIN ST",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280815904",
"telephone_number": "704-933-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "COLLEEN",
"middle_name": "W",
"credential": "DDS, PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
- Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
- Carolinas Physicians Network Inc (Carolinas On Site Care Employer Based Clinics)
- Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
- Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)
- Nathalie Cozon Carrizosa, CPNP-PC
- Kathy Carter, PHARMD
- Sandra Carter
- Shantela M. Carter
- Shema Philistines Carter
- Dennis Clay Caudill, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.