Active NPI
Carol Marie Jaworski, RDH
- Dental Hygienist
- Chinle, AZ
National Provider Identifier
1063470870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H01517
- Practice address
- PO Box PH
Chinle, AZ 86503-8000 - Phone
- (928) 674-7001
- NPI assigned
- May 2, 2006
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H01517 | AZ | Primary |
Addresses
Primary practice location
PO Box PH
Chinle, AZ 86503-8000
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P93198 | Other | MI | BCN |
| 383518314 | Other | MI | TAX ID |
| 950C9502 | Other | MI | BCBS |
| 1063470870 | Medicaid | MI |
Other names 1
- Miss Carol Marie Jaworski
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 |
|---|---|---|---|
| H01517 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Healthcare PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1063470870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865038000",
"telephone_number": "928-674-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865038000",
"telephone_number": "928-674-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWORSKI",
"first_name": "CAROL",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H01517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P93198",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383518314",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "950C9502",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063470870",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "JAWORSKI",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "RDH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.