Casey Ryan Carroll

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2074 Issued in NH

Practice address

1990 Dover Rd Ste 1D
Epsom, NH 03234-4146

Phone

(603) 736-0017

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1386472884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LOUDON RD UNIT 9",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015611",
            "telephone_number": "603-229-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 DOVER RD STE 1D",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344146",
            "telephone_number": "603-736-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Greenland Rd Unit A1",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014161",
            "country_code": "US",
            "telephone_number": "603-294-0375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Loudon Rd Unit 9",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015611",
            "country_code": "US",
            "telephone_number": "603-229-1768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CASEY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NH",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Epsom, NH
• Providers in Epsom, NH by specialty
• Hearing Instrument Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.