Active NPI
Christina Carter, D.D.S.
- Dentist
- Duluth, MN
National Provider Identifier
1932582764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13562
- Practice address
- 1832 Maple Grove Rd
Duluth, MN 55811-1811 - Phone
- (218) 722-1070
- NPI assigned
- Jun 29, 2015
- Last updated
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161202001324 | MN | Order and Referring Only - Dentist | 6800176124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory H. Kaake, D.D.S. P.a. | Past | Accepting new patients | |
| Modern Dental Professionals Minnesota PC | Dentist | Past | Accepting new patients |
| Miller Hill Dental PLLC | Past | Accepting new patients | |
| Modern Dental Professionals | Dentist | Past | Accepting new patients |
| Modern Dental Professionals MN PC | Dentist | Past | 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.
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dba Midwest Dental - Seward
- Dentist
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- NPI 1447860523
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.