Nicole Joleen Caroline, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

879 Issued in SD

Practice address

685 N Lacrosse St
Suite 5
Rapid City, SD 57701-1492

Phone

(605) 721-8939

Fax

(605) 394-5217

NPI assigned

May 13, 2009

Last updated

May 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Bracken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Health Center of the Black Hills Inc

  dba Complete Health

  • Federally Qualified Health Center (FQHC)
  • Rapid City, SD
  • NPI 1669508677
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1104050590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011400",
            "telephone_number": "605-721-8939",
            "fax_number": "605-394-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N LACROSSE ST",
            "address_2": "SUITE 5",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011492",
            "telephone_number": "605-721-8939",
            "fax_number": "605-394-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLINE",
        "first_name": "NICOLE",
        "middle_name": "JOLEEN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "SD",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRACKEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth Carley
• Gary L Carlson, MD
• John Carlson
• Cortney Carmody
• Isabel E Caro
• Cecile Caron
• Daniel Caron
• Carpenter Dental , PLLC
• Chad Carpenter, DDS,PC
• Karine Carpenter, PT

• Dental Hygienist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Dental Hygienist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.