Active NPI
Carly Lallemand Garrigan, DDS
- Dentist
- Mebane, NC
National Provider Identifier
1225591480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.032325
- Practice address
- 3980 Wilson Rd
Mebane, NC 27302-9985 - Phone
- (984) 203-4021
- NPI assigned
- Apr 12, 2019
- Last updated
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12850 | NC | |
| Dentist | 122300000X | 019.032325 | IL | Primary |
Addresses
Primary practice location
3980 Wilson Rd
Mebane, NC 27302-9985
Mailing address
464 E. Pettigrew St.
Apt. 615
Durham, NC 27701
Phone (620) 238-0352
Other practice location 1
350 N Clark St Ste 600
Chicago, IL 60654-4782
Phone (312) 274-4580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032325 | IL | MD | Dentist |
| 12850 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1225591480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 E. PETTIGREW ST.",
"address_2": "APT. 615",
"city": "DURHAM",
"state": "NC",
"postal_code": "27701",
"telephone_number": "620-238-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 WILSON RD",
"city": "MEBANE",
"state": "NC",
"postal_code": "273029985",
"telephone_number": "984-203-4021"
}
],
"practiceLocations": [
{
"address_1": "350 N Clark St Ste 600",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606544782",
"country_code": "US",
"telephone_number": "312-274-4580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRIGAN",
"first_name": "CARLY",
"middle_name": "LALLEMAND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2022-07-08",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12850",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.032325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.