Active NPI
Ben F Carter, D.D.S
- Dentist
- Jacksonville, FL
National Provider Identifier
1851679666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19373
- Practice address
- 5937 University Blvd W
Jacksonville, FL 32216-4911 - Phone
- (904) 730-4150
- Fax
- (904) 730-4193
- NPI assigned
- Jul 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19373 | FL | Primary |
Addresses
Primary practice location
5937 University Blvd W
Jacksonville, FL 32216-4911
Mailing address
11718 Fitchwood Cir
Jacksonville, FL 32258-4503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003936600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002211 | FL | Order and Referring Only - Dentist | 9830410703 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19373 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1851679666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11718 FITCHWOOD CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322584503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5937 UNIVERSITY BLVD W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164911",
"telephone_number": "904-730-4150",
"fax_number": "904-730-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "BEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-27",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "19373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003936600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.