Alexandra Karen Carroll, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12112 Issued in NC

Practice address

964 Glenway Dr Ste a
Statesville, NC 28625-9204

Phone

(704) 252-5793

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orbie E Ottey Jr DDS Professional Corporation

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1174129423
  NPD
• Youngchi Chang DDS PLLC

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1023643582
  NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1245864859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22415 MARKET ST APT 1221",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313034",
            "telephone_number": "203-257-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 GLENWAY DR STE A",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259204",
            "telephone_number": "704-252-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ALEXANDRA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9562",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Counseling Solutions Inc.
• Carolinas Physicians Network Inc
• Maggie Carpenter, BS-NDTR
• Randy Scott Carpenter, MD
• Elizabeth Raven Carrigan, DNP, FNP-C
• Dan E Carroll, D.M.D
• Elizabeth White Carter, CCC-SLP
• Jared Carter, PAC
• Caroline Wylie Cartin, RPH
• Case Management Services LLC

• Dentist in Statesville, NC
• Providers in Statesville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.