Active NPI
Jamie Renald Carter, DMD
- General Practice Dentistry
- New York, NY
National Provider Identifier
1477043198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060879
- Practice address
- 306 Malcolm X Blvd
New York, NY 10027-4465 - Phone
- (212) 803-2850
- NPI assigned
- May 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11473 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| General Practice Dentistry | 1223G0001X | 060879 | NY | Primary |
Addresses
Primary practice location
306 Malcolm X Blvd
New York, NY 10027-4465
Mailing address
31 Kosciuszko St Apt 1a
Brooklyn, NY 11205-5078
Phone (336) 708-0054
Other practice location 1
1775 Grand Concourse Fl 6
Bronx, NY 10453-8202
Phone (718) 901-8410
Other practice location 2
192 E Chestnut St
Asheville, NC 28801-2350
Phone (828) 393-4158
Other practice location 3
1037 Homeland Ave
Greensboro, NC 27405-7003
Phone (336) 272-0132
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 |
|---|---|---|---|
| 060879 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Clark, DDS, II, PLLC | Past | Accepting new patients | |
| Eric J. Sadler, DDS and Associates PA | General Practice | Past | Accepting new patients |
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.
-
- Dentist
- Greensboro, NC
- NPI 1619638970
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1184914228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1477043198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 KOSCIUSZKO ST APT 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112055078",
"telephone_number": "336-708-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 MALCOLM X BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274465",
"telephone_number": "212-803-2850"
}
],
"practiceLocations": [
{
"address_1": "1775 Grand Concourse Fl 6",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104538202",
"country_code": "US",
"telephone_number": "718-901-8410",
"fax_number": "718-901-8162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "192 E Chestnut St",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288012350",
"country_code": "US",
"telephone_number": "828-393-4158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1037 Homeland Ave",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274057003",
"country_code": "US",
"telephone_number": "336-272-0132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JAMIE",
"middle_name": "RENALD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-17",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "11473",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.