Individual provider Active NPI

Joshua David Carter, D.D.S.

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1417192006
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10358 Issued in CO
Practice address
1016 Middle Creek Parkway
Colorado Springs, CO 80921-3754
Phone
(719) 488-2292
Fax
(719) 488-9116
NPI assigned
Dec 10, 2008
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10358 CO Primary

Addresses

Primary practice location

1016 Middle Creek Parkway
Colorado Springs, CO 80921-3754

Mailing address

1016 Middle Creek Parkway
Colorado Springs, CO 80921-3754
Phone (719) 488-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001171 CO Order and Referring Only - DentistPractitioner - Dentist 6204004609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10358COMDDentist
24073TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carter DDS LLC CurrentSince Jul 28, 2025 Accepting new patients
Joshua D Carter DDS PLLC Dentist PastSince May 11, 2016 Accepting new patients

Locations

1016 Middle Creek Pkwy
Colorado Springs, CO 80921
Phone (719) 488-2292

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1417192006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MIDDLE CREEK PARKWAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213754",
            "telephone_number": "719-488-2292",
            "fax_number": "719-488-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MIDDLE CREEK PARKWAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213754",
            "telephone_number": "719-488-2292",
            "fax_number": "719-488-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.