Carly Koutropoulos, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

12013686A Issued in IN

Practice address

Gruber Rd
Fort Bragg, NC 28310-0001

Phone

(910) 396-1572

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carlye Ann Colby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1215509476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MICAHS WAY N",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902869",
            "telephone_number": "219-713-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRUBER RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-396-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTROPOULOS",
        "first_name": "CARLY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013686A",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013686A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLYE",
            "last_name": "COLBY",
            "middle_name": "ANN",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Victor Korby, FNP
• Dawn Korcz
• Rita A Kostecke, MD, MPH
• Arpan Kothari, D.O.
• Bruce Sheldon Kottler, PH.D.
• Ivan Sergeyevich Koutsopatriy, DDS
• Steven Tyson Kovach, DPT
• Ava Kathleen Kowalski
• Brian A Krakover, M.D.
• Gregory Krauss

• Dentist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.