Jeffrey Lee Carter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9499 Issued in MN

Practice address

111 Main Street
Deer River, MN 56636

Phone

(218) 246-8200

Fax

(218) 246-8982

NPI assigned

Feb 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

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

State licenses

Practice roles

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.

• Deer River Dental Clinic

  • Endodontics
  • Deer River, MN
  • NPI 1417464157
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619949328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "56636",
            "telephone_number": "218-246-8200",
            "fax_number": "218-246-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN STREET",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "56636",
            "telephone_number": "218-246-8200",
            "fax_number": "218-246-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Lynn Block, FNP
• Arndt Beroen Braaten
• Mary Margaret Braaten, MD
• Julienne Renae Brauer, PA-C
• Susan Catherine Carol
• Carol Marie Church, CNS
• Kristina Lee Conner, CNP
• Deer River Dental Clinic
• Deer River Healthcare Center Inc (Deer River Home Care)
• Deer River Healthcare Center Inc (Essentia Heath Deer River Clinic)

• Dentist in Deer River, MN
• Providers in Deer River, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.