DR. RAVEN-DENEICE GRANT CAROUTHERS DDS
NPI 1386296259
Dentist - General Practice in Chicago, IL
About Dr. Raven-deneice Grant Carouthers Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAVEN-DENEICE GRANT CAROUTHERS DDS (NPI 1386296259) is an individual general practice provider in Chicago, Illinois, licensed in Texas (35602) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raven-deneice Grant Carouthers Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raven-deneice Carouthers's NPI number?
The NPI number for Raven-deneice Carouthers is 1386296259. It was assigned to this individual provider in the NPPES registry on July 11, 2019.
Where is Raven-deneice Carouthers located?
Raven-deneice Carouthers practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (713) 574-0787.
What is Raven-deneice Carouthers's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Raven-deneice Carouthers enrolled in Medicare?
Yes. Raven-deneice Carouthers is registered in the Medicare PECOS enrollment system.
What insurance does Raven-deneice Carouthers accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Raven-deneice Carouthers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Raven-deneice Carouthers was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Raven-Deneice Grant Carouthers, DDS · NPI 1386296259
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1386296259 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 35602 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 S DAMEN AVE, Chicago, IL 60612-3728
- **Phone:** (713) 574-0787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386296259) · Data from the CMS NPPES public registry.