Katherine Anne Carroll, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.022948 Issued in OH

Practice address

337 Main St Ste a
Groveport, OH 43125-1127

Phone

(614) 836-2222

Fax

(614) 343-2212

NPI assigned

Aug 12, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carroll DMD LLC

  dba Carroll Family Dental

  • General Practice Dentistry
  • Bexley, OH
  • NPI 1356181150
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1215183058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S COLUMBIA AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091622",
            "telephone_number": "614-836-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAIN ST STE A",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251127",
            "telephone_number": "614-836-2222",
            "fax_number": "614-343-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2699 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092997",
            "country_code": "US",
            "telephone_number": "614-237-5000",
            "fax_number": "614-237-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL BOARD",
            "identifier": "30.022948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Campbell, MSW, LSW
• Stephen Campbell
• Care Compassion Home Healthcare LLC
• Autumn Carlson, R.N.
• Norman J. Carmack, APS.006711
• Marc L Carroll, D.O.
• Sandra Carroll
• Lanita Carter, PTA
• Michael Chandler Jr., CDCA
• Jasmine Chie Chatman

• Dentist in Groveport, OH
• Providers in Groveport, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.