Individual provider Active NPI

Noah Jefferson Carden III, D.M.D

  • General Practice Dentistry
  • Tuskegee, AL
National Provider Identifier
1912068263
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
ALCS#CS3088 Issued in AL
Practice address
401 E Martin Luther King Hwy
401 E Martin Luther King Highway
Tuskegee, AL 36083-1842
Phone
(334) 727-5140
Fax
(334) 727-5144
NPI assigned
Dec 12, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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 ALCS#CS3088 AL Primary

Addresses

Primary practice location

401 E Martin Luther King Hwy
401 E Martin Luther King Highway
Tuskegee, AL 36083-1842

Mailing address

401 E Martin Luther King Hwy
401 E Martin Luther King Highway
Tuskegee, AL 36083-1842
Phone (334) 727-5140

Other identifiers 1

IdentifierTypeStateIssuer
009956780MedicaidAL

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

State licenses

LicenseStateTypeSpecialty
ALCS#CS3088ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1912068263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MARTIN LUTHER KING HWY",
            "address_2": "401 E MARTIN LUTHER KING HIGHWAY",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831842",
            "telephone_number": "334-727-5140",
            "fax_number": "334-727-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MARTIN LUTHER KING HWY",
            "address_2": "401 E MARTIN LUTHER KING HIGHWAY",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831842",
            "telephone_number": "334-727-5140",
            "fax_number": "334-727-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "NOAH",
        "middle_name": "JEFFERSON",
        "name_suffix": "III",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "ALCS#CS3088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009956780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.