Carter L Blevins, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4201 Issued in KY

Practice address

176 Southport Drive
Somerset, KY 42501-4149

Phone

(606) 679-7562

Fax

(606) 677-2557

NPI assigned

Dec 28, 2006

Last updated

Feb 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Carter L Blevins DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Somerset, KY
  • NPI 1073653853
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1689730418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SOUTHPORT DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014149",
            "telephone_number": "606-679-7562",
            "fax_number": "606-677-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SOUTHPORT DRIVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014149",
            "telephone_number": "606-679-7562",
            "fax_number": "606-677-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "CARTER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60042017",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "64042013",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64042013",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000217071",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Blaha, LPCC
• Andrew Blakley
• Rebecca Jeannine Blakley, CPNP
• Erin Blasko
• Blaze Valley Corporation (Blaze Valley Home Medical)
• Nicole L Blevins, OTR/L
• Blooming Behavioral Health
• Christopher Blount
• Blue Grass Physiotherapy, PLLC
• Bluegrass Developmental Group

• Oral and Maxillofacial Surgery (Dentist) in Somerset, KY
• Providers in Somerset, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.