Carrol Carter Trewet, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5283 Issued in IA

Practice address

1404 E 10TH St
Atlantic, IA 50022-1955

Phone

(712) 243-5270

Fax

(712) 243-1723

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atlantic Dental Center P.C.

  • General Practice Dentistry
  • Atlantic, IA
  • NPI 1326051392
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932112976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221955",
            "telephone_number": "712-243-5270",
            "fax_number": "712-243-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221955",
            "telephone_number": "712-243-5270",
            "fax_number": "712-243-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREWET",
        "first_name": "CARROL",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008599",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Thomas, LISW
• Thomas L Thomsen, O.D.
• Macy Kae Ticknor, OTD, OTR/L
• Timothy J Kreifels DDS PC
• Lindsay Tinken
• Brenda Truong
• Jane Marie Turner, R.N.
• Nina Utterback, CADC
• Angela Van Horn, CADC
• Adam Joel Verhoef, MD

• General Practice Dentistry in Atlantic, IA
• Providers in Atlantic, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.