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DR. CARTER TIMOTHY BRUETT DDS
NPI 1578149001
Dentist - Oral and Maxillofacial Pathology in Salt Lake City, UT

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
530 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 631-5779 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2025, Jun 23, 2024, Jul 8, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Carter Timothy Bruett Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARTER TIMOTHY BRUETT DDS (NPI 1578149001) is an individual oral and maxillofacial pathology provider in Salt Lake City, Utah, licensed in Utah (12317468-9923) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Dentistry (2021).

NPPES Registry Identity

NPI1578149001
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. CARTER TIMOTHY BRUETTCredential: DDS
Location Address530 S WAKARA WAYSalt Lake City, UT 84108-1213
Mailing Address530 S Wakara WaySalt Lake City, UT 84108-1213 · (801) 215-9617
Phone(801) 631-5779
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of DentistryGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateMarch 9, 20254 updates tracked since enumeration
NPPES CertifiedMarch 9, 2025
✔ NPI 1578149001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in UT · 12317468-9923
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Also ListedDentistTaxonomy 122300000X · License 12317468-9923 (UT)
530 S WAKARA WAY, Salt Lake City, UT 84108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carter Timothy Bruett Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688110174
PECOS Enrollment IDI20240719003290
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACOB P PAWLOVICH
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-6453
DR. BRITTNEY PAULINE CISZEK DDS, PHD
Dentist (General Practice)
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-2162
BRYAN GLEN TRUMP DDS, MS
Dentist (Oral and Maxillofacial Pathology)
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6189
CALEB WOOD
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
SAGE ELIZABETH PANKEY DDS
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
LURA FRYE
Dentist
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-2162
DR. SARA LYNN QUALLS DMD
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
JULIA EMMA SAKIEWICZ DDS
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453

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 Carter Bruett's NPI number?

The NPI number for Carter Bruett is 1578149001. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Carter Bruett located?

Carter Bruett practices at 530 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 631-5779.

What is Carter Bruett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Carter Bruett enrolled in Medicare?

Yes. Carter Bruett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carter Bruett accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, Molina Healthcare and Regence BlueCross BlueShield of Utah list Carter Bruett 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 Carter Bruett was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.