Carter Burke Maughan, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6771884 Issued in ID

Practice address

625 E Alameda Rd
Pocatello, ID 83201-3622

Phone

(208) 237-0005

NPI assigned

Jul 8, 2024

Last updated

Dec 18, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Id SDS II PLLC

  dba Idaho Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pocatello, ID
  • NPI 1861265647
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1801632070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013622",
            "telephone_number": "208-237-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013622",
            "telephone_number": "208-237-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 E Chubbuck Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832021817",
            "country_code": "US",
            "telephone_number": "208-237-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "CARTER",
        "middle_name": "BURKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "6771884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Matamoros
• Devin M Matson
• Nathan D Matson, PA-C
• Adam Matthews, DPM
• Quincie Lee Mattick, LMSW
• Jason Arthur Mauseth, DDS
• Maximum Security Inc
• Amanda Mayer
• Richard M Maynard, D.O.
• Tyler Forrest Mayo, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

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