Active NPI
Jennifer Warren McCarter, DMD
- Pediatric Dentistry
- Jackson, TN
National Provider Identifier
1710109012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8621
- Practice address
- 206 Murray Guard Dr
Jackson, TN 38305 - Phone
- (901) 484-4083
- NPI assigned
- May 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8621 | TN | Primary |
Addresses
Primary practice location
206 Murray Guard Dr
Jackson, TN 38305
Mailing address
206 Murray Guard Drive
Jackson, TN 38305-3776
Phone (901) 484-4083
Other names 1
- Jennifer Warren Welch
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 |
|---|---|---|---|
| 8621 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Pediatric Dental Group Inc | Pediatric Dentistry | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Jackson, TN
- NPI 1528152394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1710109012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 MURRAY GUARD DRIVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053776",
"telephone_number": "901-484-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MURRAY GUARD DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "901-484-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTER",
"first_name": "JENNIFER",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "8621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WELCH",
"middle_name": "WARREN",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.