Thomas Boyd Carter, D.D.S
Individual provider Active NPI Periodontics · Ocean Springs, MS
NPI 1891922282 · NPPES record last updated Aug 16, 2012
Key facts
- NPI
- 1891922282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- PER-451-12 (MS)
- Practice address
- 3 Doctors Dr
Ocean Springs, MS 39564-5709 - Phone
- (228) 875-1881
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160910000032 | MS | Order and Referring Only - Oral Surgery |
3173819521 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PER-451-12 | MS | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | PER-451-12 | MS | Yes |
Addresses
Primary practice location
3 Doctors Dr
Ocean Springs, MS 39564-5709
Mailing address
3 Doctors Dr
Ocean Springs, MS 39564-5709
Other providers in Ocean Springs, MS
- Care Magnolia LLC
- Christopher Carey
- Benjamin Carney
- Carrie Virginia Pate Therapy Center, LLC
- James Moore Carter
- Tracey Redina Carter
- Elizabeth Casey
- Nellissa Castillo
- Matthew Ceasar
- Tina J Ceccorulli
All providers in Ocean Springs, MS · Periodontics in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.