John Irvin Carter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14271 Issued in FL

Practice address

3615 S Florida Ave
Suite 850
Lakeland, FL 33803-4876

Phone

(863) 619-6600

Fax

(863) 619-6644

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Walding and Associates LLC

  • Dentist
  • Lakeland, FL
  • NPI 1386795110
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770635286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE",
            "address_2": "SUITE 850",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "863-619-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE",
            "address_2": "SUITE 850",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034876",
            "telephone_number": "863-619-6600",
            "fax_number": "863-619-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOHN",
        "middle_name": "IRVIN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysmar Carrion Dinguis, M.D.
• Edward James Carroll, PA-C
• James Edward Carroll, D.M.D.
• Leah Marie Carroll, PA
• Yarelis Cartagena, DMD
• Julianna Carter, PA-C
• Mercedes L Carter
• Michelle Marie Carter, PHARMD
• Rodney Shawn Carter, ARNP, FNP-C, MSN
• Tammi Joann Carter, ARNP

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.