DR. OPHELIA K. CARLTON DDS
NPI 1720242852
Dentist in Chicago, IL

Q: What is Ophelia Carlton's NPI number?

The NPI number for Ophelia Carlton is 1720242852. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Q: What is Ophelia Carlton's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ophelia Carlton was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since July 17, 2008PECOS Enrolled

570 E 115TH ST, CHICAGO, IL 60628(773) 768-5000 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2020, Mar 17, 2018, Dec 12, 2017 (3 updates tracked since 2017).

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About Dr. Ophelia K. Carlton Dds NPPES

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

DR. OPHELIA K. CARLTON DDS (NPI 1720242852) is an individual dentist in Chicago, Illinois, licensed in Illinois (019023713) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720242852

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. OPHELIA K. CARLTONCredential: DDS

Location Address570 E 115TH STChicago, IL 60628-5740

Mailing Address9119 S Exchange AveChicago, IL 60617-4225 · (773) 768-5000

Phone(773) 768-5000

Sole ProprietorNo

Enumeration DateJuly 17, 2008

Last NPPES UpdateMarch 25, 20203 updates tracked since enumeration

NPPES CertifiedMarch 25, 2020

✔ NPI 1720242852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019023713

Definition

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.

570 E 115TH ST, Chicago, IL 60628

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Ophelia K. Carlton Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60628 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MICHELLE DOUGLAS D.M.D.

Dentist (General Practice)