Individual provider Active NPI

Jesse D Carr, D.D.S.

  • General Practice Dentistry
  • York, NE
National Provider Identifier
1891955522
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6758 Issued in NE
Practice address
122 W 6TH St
York, NE 68467-2920
Phone
(402) 362-3379
Fax
(402) 362-3370
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 6758 NE Primary

Addresses

Primary practice location

122 W 6TH St
York, NE 68467-2920

Mailing address

122 W 6TH St
York, NE 68467-2920
Phone (402) 362-3379

Other identifiers 1

IdentifierTypeStateIssuer
10025157600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 16, 2016 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carr Dentistry P.C. CurrentSince Dec 10, 2023 Accepting new patients
Kralik Family Dental Center PC General Practice Past Accepting new patients
Kralik Dakota Dental, P.C. Past Accepting new patients
York Dental Arts Clinic PC General Practice PastSince Dec 10, 2023 Accepting new patients

Locations

122 W 6th St
York, NE 68467
Phone (402) 362-3379

Organizations & group practices 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1891955522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 6TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672920",
            "telephone_number": "402-362-3379",
            "fax_number": "402-362-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 6TH ST",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684672920",
            "telephone_number": "402-362-3379",
            "fax_number": "402-362-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JESSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025157600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.