John Elliott Carder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

PS018540L Issued in PA

Practice address

180 Regent Court
Suite 100
State College, PA 16801

Phone

(814) 238-6061

Fax

(814) 238-7950

NPI assigned

Feb 6, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841339660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 REGENT COURT",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-238-6061",
            "fax_number": "814-238-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 REGENT COURT",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-238-6061",
            "fax_number": "814-238-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDER",
        "first_name": "JOHN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "PS018540L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cantu, RPH
• Yongqi Cao, PHARMD
• Kelly Rene Capers, D.C.
• Amanda Caputo
• Anthony F. Cardell, M.D.
• Care Plus Oxygen LLC (Care Plus Oxygen)
• Caregivers With Heart, LLC
• Holly Lynn Carey Moore
• Michaella C Carey, PA-C
• Shannon Carey, PA-C

• General Practice Dentistry in State College, PA
• Providers in State College, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.