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Dr. Raven-Deneice Grant Carouthers , DDS

Dentist - General Practice β€’ Chicago, IL

Active NPI 1386296259 Individual Practitioner Female Practitioner
Practice location in NPPES

820 S Damen Ave
Chicago, IL 606123728

Call 7135740787 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

820 S Damen Ave

Chicago, IL 606123728

Telephone 7135740787
Organization at the Same NPPES Address or Phone
Jesse Brown Veterans Administration Hospital Facility NPI 1679561260

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Houston, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Carouthers has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Carouthers as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

1,150 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,288 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.1% of these 1,150 clinicians have the CMS telehealth indicator.

0.1% of these 1,150 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 35602

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.032541

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Na
NA (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20250128002480

Enrollment State Jurisdiction

TX

PECOS Control ID

3779012398

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2112 Aldine Meadows Rd

Houston, TX 770323102

Phone: 7137730803

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Aisha Ali , MD

Psychiatry & Neurology - Vascular Neurology

NPI 1194285304

Doctor of Medicine (M.D.)

Dr. Evan Ariano , MD

Psychiatry & Neurology - Neurology

NPI 1598297947

Doctor of Medicine (M.D.)

Dr. Parveen Azam , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1477639078

Doctor of Medicine (M.D.)

Dr. Purnima Balachandran , MD

Internal Medicine - Gastroenterology

NPI 1659318509

Doctor of Medicine (M.D.)

Malgorzata Boksa

Nurse Practitioner

NPI 1801292404
James Bolo , LCSW

Social Worker - Clinical

NPI 1841681582

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
🏒
Secondary Practice Location Registered January 09, 2025

Additional practice office at 2112 Aldine Meadows Rd, Houston, TX 770323102

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Dentist (license number reported to NPPES: IL 019.032541)

πŸ“
Updated Business Mailing Address December 06, 2023

Registered at 122 S MICHIGAN AVE STE 1390, CHICAGO, IL 606036036 (Tel: 7135740787)

πŸ“
Updated Business Mailing Address June 28, 2023

Registered at 1515 S PRAIRIE AVE UNIT 715, CHICAGO, IL 606053022 (Tel: 7135740787)

πŸ‘€
Provider Name / Credentials Updated June 28, 2023

Recorded as RAVEN-DENEICE CAROUTHERS, DDS

βœ…
NPI Profile Active July 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 11, 2019

Registered at 820 S DAMEN AVE, CHICAGO, IL 606123728 (Tel: 7135740787)

πŸ“
Business Mailing Address (Initial Record) July 11, 2019

Registered at 900 S CLARK ST APT 2209, CHICAGO, IL 606053708 (Tel: 7135740787)

πŸ‘€
Provider Name / Credentials (Initial Record) July 11, 2019

Recorded as RAVEN-DENEICE GRANT, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386296259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: January 09, 2025
Sole Proprietor: Yes

Other Dentist - General Practices in Chicago

All Dentist - General Practices in Chicago

Mailing Address

122 S Michigan Ave Ste 1390

Chicago, IL 606036036

Phone: 7135740787

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.