Active NPI
Carol Ann Lindegren, D.D.S
- Dentist
- Riverside, CA
National Provider Identifier
1326325671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DW031947
- Practice address
- 6927 Brockton Ave Ste 1C
Riverside, CA 92506-3806 - Phone
- (951) 682-8899
- Fax
- (951) 682-8941
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DW031947 | CA | Primary |
Addresses
Primary practice location
6927 Brockton Ave Ste 1C
Riverside, CA 92506-3806
Mailing address
6927 Brockton Ave Ste 1C
Riverside, CA 92506-3806
Phone (951) 682-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 11, 2016 through Nov 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DW031947 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1326325671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6927 BROCKTON AVE STE 1C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063806",
"telephone_number": "951-682-8899",
"fax_number": "951-682-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6927 BROCKTON AVE STE 1C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063806",
"telephone_number": "951-682-8899",
"fax_number": "951-682-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEGREN",
"first_name": "CAROL ANN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DW031947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.