Individual provider Active NPI

Carter Taylor Rea, D.D.S

  • General Practice Dentistry
  • Highland, MI
National Provider Identifier
1770470205
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901602652 Issued in MI
Practice address
2950 E Highland Rd
Highland, MI 48356-2810
Phone
(248) 887-8371
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901602652 MI Primary

Addresses

Primary practice location

2950 E Highland Rd
Highland, MI 48356-2810

Mailing address

134 Oriole St
Commerce Township, MI 48382-4046
Phone (248) 310-9678

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

LicenseStateTypeSpecialty
2901602652MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Advanced Dental Care PLLC General Practice CurrentSince Jun 23, 2025 Accepting new patients
Highland Oral Appliances LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

2950 E Highland Rd
Highland, MI 48356
Phone (248) 717-3410

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1770470205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ORIOLE ST",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824046",
            "telephone_number": "248-310-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-887-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "CARTER",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.