Active NPI
Craig M Carter, D.D.S.
- Dentist
- Monroe, WI
National Provider Identifier
1629061197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0003142
- Practice address
- 912 16TH Ave
Monroe, WI 53566-1762 - Phone
- (608) 325-6661
- Fax
- (608) 329-4361
- NPI assigned
- Aug 30, 2005
- Reactivated
- Apr 5, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0003142 | WI | Primary |
Addresses
Primary practice location
912 16TH Ave
Monroe, WI 53566-1762
Mailing address
PO Box 140
912 16TH Ave
Monroe, WI 53566-0140
Phone (608) 325-6661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33452600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003142 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig M. Carter D.D.S., S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Monroe, WI
- NPI 1033322367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629061197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140",
"address_2": "912 16TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535660140",
"telephone_number": "608-325-6661",
"fax_number": "608-329-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 16TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661762",
"telephone_number": "608-325-6661",
"fax_number": "608-329-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CRAIG",
"middle_name": "M",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "0003142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33452600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- 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.