Sam A Carroll, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7971 Issued in AZ

Practice address

550 E 32ND St Ste 6
Yuma, AZ 85365-3431

Phone

(928) 344-1060

Fax

(928) 726-3401

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1235366642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 32ND ST STE 6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653431",
            "telephone_number": "928-344-1060",
            "fax_number": "928-726-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 32ND ST STE 6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653431",
            "telephone_number": "928-344-1060",
            "fax_number": "928-726-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Carmody
• David K Caropreso, MD
• Carpe Diem Collegiate High School
• Karla Brisa Carranza
• Angela Johanna Carrillo, L.M.T
• John Bertram Carson, M.D.
• Corrine Carter, RN
• Henri R Carter, MD
• Jeremy Carter, MD
• Leora Carter, MLP/NP

• General Practice Dentistry in Yuma, AZ
• Providers in Yuma, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.