Organization Active NPI

Carney & Ambrose, DDS, LLC

  • General Practice Dentistry
  • Jefferson City, MO
National Provider Identifier
1467654335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2004013244 Issued in MO
Legal business name
CARNEY & AMBROSE, DDS, LLC
Practice address
207 Metro Dr
Jefferson City, MO 65109-1134
Phone
(573) 634-3316
Fax
(573) 636-5050
NPI assigned
Jun 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bart J. Carney, DDSNPI 1073724787
Title
Co-Owner
Phone
(573) 634-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2004013244 MO Primary

Addresses

Primary practice location

207 Metro Dr
Jefferson City, MO 65109-1134

Mailing address

207 Metro Dr
Jefferson City, MO 65109-1134
Phone (573) 634-3316

National Provider Directory

National Provider Directory

Locations

207 Metro Dr
Jefferson City, MO 65109
Phone (573) 634-3316

Practitioners & affiliated clinicians

Practitioners 3

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467654335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 METRO DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091134",
            "telephone_number": "573-634-3316",
            "fax_number": "573-636-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 METRO DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091134",
            "telephone_number": "573-634-3316",
            "fax_number": "573-636-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNEY & AMBROSE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "573-634-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004013244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.