Active NPI
Annie Kristin Carberry, DDS
- Dentist
- Charlotte, NC
National Provider Identifier
1053731737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9712
- Practice address
- 201 Providence Rd
Charlotte, NC 28207-1417 - Phone
- (704) 376-6470
- Fax
- (704) 496-2988
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9712 | NC | Primary |
Addresses
Primary practice location
201 Providence Rd
Charlotte, NC 28207-1417
Mailing address
201 Providence Rd
Charlotte, NC 28207-1417
Phone (704) 376-6470
Other practice location 1
358 Marine Pkwy
Suite 100
Redwood City, CA 94065-1010
Phone (650) 595-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9712 | NC | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annie B Carberry DDS, PLLC | Current | Accepting new patients | |
| Armstrong & Eshleman, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carberry Family Dentistry
- Dental Clinic/Center
- Charlotte, NC
- NPI 1902494339
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1083741565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053731737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071417",
"telephone_number": "704-376-6470",
"fax_number": "704-496-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071417",
"telephone_number": "704-376-6470",
"fax_number": "704-496-2988"
}
],
"practiceLocations": [
{
"address_1": "358 Marine Pkwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940651010",
"country_code": "US",
"telephone_number": "650-595-0106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBERRY",
"first_name": "ANNIE",
"middle_name": "KRISTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.