Individual provider Active NPI

Christina Carter, D.D.S.

  • Dentist
  • Duluth, MN
National Provider Identifier
1932582764
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13562 Issued in MN
Practice address
1832 Maple Grove Rd
Duluth, MN 55811-1811
Phone
(218) 722-1070
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13562 MN Primary

Addresses

Primary practice location

1832 Maple Grove Rd
Duluth, MN 55811-1811

Mailing address

901 Boulder Dr Apt 203
Hermantown, MN 55811-1791
Phone (218) 722-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001324 MN Order and Referring Only - DentistPractitioner - Dentist 6800176124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory H. Kaake, D.D.S. P.a. Past Accepting new patients
Modern Dental Professionals Minnesota PC Dentist PastSince Mar 1, 2020 Accepting new patients
Miller Hill Dental PLLC Past Accepting new patients
Modern Dental Professionals Dentist PastSince Mar 1, 2020 Accepting new patients
Modern Dental Professionals MN PC Dentist PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 5

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1932582764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOULDER DR APT 203",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111791",
            "telephone_number": "218-722-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111811",
            "telephone_number": "218-722-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.