Individual provider Active NPI

Carrie F. Tombrello, DMD

  • Dentist
  • Bayou la Batre, AL
National Provider Identifier
1407802457
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LNO 5351 Issued in AL
Practice address
13040 N Wintzell Ave
Bayou la Batre, AL 36509-2110
Phone
(251) 824-2347
Fax
(251) 824-4337
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LNO 5351 AL Primary

Addresses

Primary practice location

13040 N Wintzell Ave
Bayou la Batre, AL 36509-2110

Mailing address

PO Box 769
Bayou la Batre, AL 36509-0769
Phone (251) 824-2347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150724011876 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961715503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LNO 5351ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407802457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365090769",
            "telephone_number": "251-824-2347",
            "fax_number": "251-824-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 N WINTZELL AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092110",
            "telephone_number": "251-824-2347",
            "fax_number": "251-824-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBRELLO",
        "first_name": "CARRIE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "LNO 5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayou la Batre, AL

Sources for this page

Verify at the official NPI Registry.