NPIMap

Organization Active NPI

Eileen M Carney DDS Inc

  • Dentist
  • Willoughby, OH
National Provider Identifier
1316012156
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EILEEN M CARNEY DDS INC
Practice address
35104 Euclid Ave Suite 109
Willoughby, OH 44094
Phone
(440) 942-0994
Fax
(440) 942-3569
NPI assigned
Nov 21, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Eileen M Carney, DDSNPI 1992122139
Title
President
Phone
(440) 942-0994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

35104 Euclid Ave Suite 109
Willoughby, OH 44094

Mailing address

35104 Euclid Ave Suite 109
Willoughby, OH 44094
Phone (440) 942-0994

National Provider Directory

National Provider Directory

Locations

35104 Euclid Ave
Ste 109
Willoughby, OH 44094
Phone (440) 942-0994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1316012156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35104 EUCLID AVE SUITE 109",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-942-0994",
            "fax_number": "440-942-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35104 EUCLID AVE SUITE 109",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-942-0994",
            "fax_number": "440-942-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN M CARNEY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-942-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.