Lonny D Carmichael, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7460 Issued in AZ

Practice address

3592 S Atherton Blvd
Suite 107
Gilbert, AZ 85297-7443

Phone

(480) 889-1877

Fax

(480) 889-1876

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1043352412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-889-1877",
            "fax_number": "480-889-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-889-1877",
            "fax_number": "480-889-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "LONNY",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411545",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "7460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348451",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Carlson
• Michelle Anne Carlson, SLPA LICENSE
• Anne Means Carlsson, MS, OTR/L
• Corinne Carlton
• Carmichael Pediatric Dentistry
• Melissa Carmiencke
• Shilo Carnahan
• M Carney
• Nicole Theresa Carney, MA, BCBA, LBA
• Amanda Carpenter, LPC

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.