Active NPI
Brandon Carter
- Dentist
- Hempstead, NY
National Provider Identifier
1457758963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058310
- Practice address
- 186 Clinton St
Hempstead, NY 11550-2600 - Phone
- (516) 483-8136
- NPI assigned
- Nov 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 058310 | NY | Primary |
Addresses
Primary practice location
186 Clinton St
Hempstead, NY 11550-2600
Mailing address
45 W 132ND St
Apt 2M
New York, NY 10037-3101
Phone (919) 368-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04348610 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058310 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Dentistry PC | Current | Accepting new patients | |
| Delba J. Pena D.D.S., P.C. | Past | Accepting new patients |
Locations
455 Central Park Ave
Ste 309
Scarsdale, NY 10583
Phone (914) 725-5700
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.
-
- General Practice Dentistry
- Scarsdale, NY
- NPI 1265015903
-
- Dental Clinic/Center
- Hempstead, NY
- NPI 1639341712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1457758963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 W 132ND ST",
"address_2": "APT 2M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100373101",
"telephone_number": "919-368-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 CLINTON ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115502600",
"telephone_number": "516-483-8136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-26",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04348610",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.