NPIMap

Organization Active NPI

Laura Carroll DMD LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1144560566
Registry record updated Feb 21, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028474 Issued in IL
Legal business name
LAURA CARROLL DMD LTD
Practice address
925 W Montana St
Unit B
Chicago, IL 60614-2431
Phone
(502) 262-1941
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Laura Carroll, DMD
Title
Dentist
Phone
(502) 262-1941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028474 IL Primary

Addresses

Primary practice location

925 W Montana St
Unit B
Chicago, IL 60614-2431

Mailing address

925 W Montana St
Unit B
Chicago, IL 60614-2431
Phone (502) 262-1941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1144560566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W MONTANA ST",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142431",
            "telephone_number": "502-262-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W MONTANA ST",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142431",
            "telephone_number": "502-262-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA CARROLL DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-262-1941",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.