Active NPI
Wenzell Edward Carter Jr., D.D.S.
- General Practice Dentistry
- Rome, NY
National Provider Identifier
1669531414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0417921
- Practice address
- 6100 School Rd
Rome, NY 13440-9703 - Phone
- (315) 339-6880
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0417921 | NY | Primary |
Addresses
Primary practice location
6100 School Rd
Rome, NY 13440-9703
Mailing address
243 Ramblewood Dr
Utica, NY 13502-6208
Phone (315) 734-1009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0417921 | Other | NY | NEW YORK DENTAL LICENSE |
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 |
|---|---|---|---|
| 0417921 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669531414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 RAMBLEWOOD DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026208",
"telephone_number": "315-734-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 SCHOOL RD",
"city": "ROME",
"state": "NY",
"postal_code": "134409703",
"telephone_number": "315-339-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "WENZELL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "0417921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK DENTAL LICENSE",
"identifier": "0417921",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.