Ivan Alexander Carrion, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12473 Issued in NC

Practice address

2427 Cross Pointe Dr Ste 101
Rock Hill, SC 29730

Phone

(803) 992-8533

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1538696703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W ARROWOOD RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736651",
            "telephone_number": "704-635-6588",
            "fax_number": "980-920-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 CROSS POINTE DR STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-992-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Kernersville Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847159",
            "country_code": "US",
            "telephone_number": "336-515-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRION",
        "first_name": "IVAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9128",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Physicians Network Inc.
• Thomas John Carota, FNP
• Jasmiya Carothers
• Deborah J Carpinteri, RN,AD,BA
• Brandy Carrington
• Abby Carruthers
• Audrey Carter, MPH
• John Alexander Carter, MD
• Rhonda Gail Carter, DDS
• Wardell Carter

• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

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

Verify at the official NPI Registry.