Jason C Carter, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21838 Issued in FL

Practice address

1621 N Plaza Dr
Tallahassee, FL 32308-5335

Phone

(850) 466-7856

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chaney, Couch & Associates

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1821294984
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1598717464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 AUSTIN DAVIS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087401",
            "telephone_number": "850-877-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085335",
            "telephone_number": "850-466-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304718100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ancil Carruthers III, PHARMD
• Shawntora Carter Hunter
• Damenian Earl Carter, MS
• Del Gage Carter, MD
• Ingrid B Carter
• Jillian Carter
• Joseph McCall Carter, M.D.
• Kayla Carter, DNP-NNP
• Morgan Briana Carter, PHARMD
• Rebecca Carter

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.