Jennifer Marie Carey, RDH

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT67 Issued in MN

Practice address

10756 Butternut St NW
Coon Rapids, MN 55448-4448

Phone

(763) 757-4170

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Summit Dental P.a.

  • General Practice Dentistry
  • Coon Rapids, MN
  • NPI 1295907202
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1831553312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 190TH AVE NE",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550929527",
            "telephone_number": "763-301-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10756 BUTTERNUT ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484448",
            "telephone_number": "763-757-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H5757",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT67",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith A Canter, D.P.M.
• Daniel Keith Cantwell, D.O.
• Michael Patrick Capp, DDS
• Joseph Michael Cardamone Jr., M.D.
• Molly RM Cardosi, OTR/L
• Lindsay Carik
• Caring Chiropractic Center, P.a.
• Melanie Carlson-Kappes, MA, LMFT
• Daniel Carlson, DO
• Jeffrey James Carlson, M ED, ATC

• Dental Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.