Individual provider Active NPI

Jacob Lawton Carter IV, DDS

  • General Practice Dentistry
  • Powell, TN
National Provider Identifier
1881584852
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12914 Issued in TN
Practice address
7315 Clinton Hwy Ste a
Powell, TN 37849-5225
Phone
(865) 938-6465
NPI assigned
Jul 9, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12914 TN Primary

Addresses

Primary practice location

7315 Clinton Hwy Ste a
Powell, TN 37849-5225

Mailing address

2484 Sunrise Ridge Way Apt 308
Knoxville, TN 37921-1276
Phone (864) 252-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Family Dentistry CurrentSince Jul 13, 2025 Accepting new patients
Rocky Top Dental Services LLC General Practice PastSince Jul 13, 2025 Accepting new patients

Locations

7315 Clinton Hwy
Ste A
Powell, TN 37849
Phone (615) 268-6262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1881584852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 SUNRISE RIDGE WAY APT 308",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211276",
            "telephone_number": "864-252-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 CLINTON HWY STE A",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495225",
            "telephone_number": "865-938-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JACOB",
        "middle_name": "LAWTON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.