NPIMap

Organization Active NPI

Janette Carroll, DDS, PLLC

  • Point of Service
  • Mount Vernon, WA
National Provider Identifier
1205383205
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6198 Issued in WA
Legal business name
JANETTE CARROLL, DDS, PLLC
Practice address
2210 Kulshan View Dr Ste 101
Mount Vernon, WA 98273-2779
Phone
(360) 424-0123
Fax
(360) 424-9023
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Janette Carroll, DDSNPI 1205978251
Title
Dentist
Phone
(360) 424-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6198 WA Primary

Addresses

Primary practice location

2210 Kulshan View Dr Ste 101
Mount Vernon, WA 98273-2779

Mailing address

2210 Kulshan View Dr Suite #101
Mount Vernon, WA 98273
Phone (360) 424-0123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1205383205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR SUITE #101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-0123",
            "fax_number": "360-424-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-0123",
            "fax_number": "360-424-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANETTE CARROLL, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-424-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "6198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.