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Deactivated NPI 1629272703 Deactivated / Inactive NPI Male Practitioner

Dr. Stanley L Carr , DDS

Dentist • Elkhart, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanley Carr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2007
NPI Deactivation Date July 29, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Carr, DDS was a registered Dentist practicing in Elkhart, IN. Throughout an active medical career spanning 12 years, Dr. Carr provided care at the practice location at 236 SIMPSON AVE until profile deactivation on 2019-07-29.

Practice Location & Contact Primary Location

Practice Address

236 Simpson Ave

Elkhart, IN 465164671

Telephone 5742930052
Fax 5742937635
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Elkhart, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Elkhart, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12005173A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Elizabeth Maina , NP

Nurse Practitioner - Family

NPI 1013505668

Nurse Practitioner

Dr. Essam Montasir , MD

Internal Medicine

NPI 1073681524

Doctor of Medicine (M.D.)

Cari Balmer

Nurse Practitioner - Family

NPI 1083156012
Kenneth Bethel , RN, FNP

Nurse Practitioner - Family

NPI 1194093807

Registered Nurse, Family Nurse Practitioner

Adam Peila , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194589804

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Megan Salyer , MSN, RN, FNP-BC

Nurse Practitioner - Family

NPI 1205713740

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 29, 2019

Record deactivated on July 29, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 236 SIMPSON AVE, ELKHART, IN 465164671 (Tel: 5742930052)

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Updated Business Mailing Address July 08, 2007

Registered at 2708 MARTIN MANOR DR, GOSHEN, IN 465265427 (Tel: 5745336035)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STANLEY CARR, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12005173A in IN)

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Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629272703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: July 08, 2007
Deactivation Date: July 29, 2019

Mailing Address

2708 Martin Manor Dr

Goshen, IN 465265427

Phone: 5745336035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.