NPIMap

Organization Active NPI

Janette Carroll DDS PLLC

  • Dentist
  • Mt. Vernon, WA
National Provider Identifier
1467706713
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006198 Issued in WA
Legal business name
JANETTE CARROLL DDS PLLC
Practice address
2210 Kulshan View Dr.
Suite 101
Mt. Vernon, WA 98273
Phone
(360) 424-0123
Fax
(360) 424-9023
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Janette Carroll, D.D.SNPI 1205978251
Title
Dentist
Phone
(360) 424-0123

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00006198 WA Primary

Addresses

Primary practice location

2210 Kulshan View Dr.
Suite 101
Mt. Vernon, WA 98273

Mailing address

2210 Kulshan View Dr.
Suite 101
Mt. Vernon, WA 98273
Phone (360) 424-0123

National Provider Directory

National Provider Directory

Locations

2210 Kulshan View Dr
Ste 101
Mount Vernon, WA 98273
Phone (360) 424-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1467706713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR.",
            "address_2": "SUITE 101",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-0123",
            "fax_number": "360-424-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR.",
            "address_2": "SUITE 101",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-0123",
            "fax_number": "360-424-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANETTE CARROLL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-424-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.