Individual provider Active NPI

Lisa M. Carvalho, D.M.D.

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1174718712
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21456 Issued in MA
Practice address
499 Rockdale Ave
New Bedford, MA 02740-1460
Phone
(508) 992-4608
Fax
(508) 992-5559
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21456 MA Primary

Addresses

Primary practice location

499 Rockdale Ave
New Bedford, MA 02740-1460

Mailing address

499 Rockdale Ave
New Bedford, MA 02740-1460
Phone (508) 992-4608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150324001781 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7315264736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21456MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rockdale Dental Associates PLLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

499 Rockdale Ave
New Bedford, MA 02740
Phone (508) 992-4608

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1174718712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401460",
            "telephone_number": "508-992-4608",
            "fax_number": "508-992-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ROCKDALE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401460",
            "telephone_number": "508-992-4608",
            "fax_number": "508-992-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.