Benjamin L. Carrico DMD Inc.PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036553 Issued in PA

Legal business name

BENJAMIN L. CARRICO DMD INC.PC

Practice address

95 Main St
Strattanville, PA 16258-1903

Phone

(814) 980-4021

Fax

(814) 764-6173

NPI assigned

May 2, 2017

Last updated

May 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Ann Kunselman

Title

Office Manager

Phone

(814) 980-4021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Benjamin Lee Carrico, D.M.D.

  • General Practice Dentistry
  • Strattanville, PA
  • NPI 1720106768
  NPD (past)
• Robert Andrew Smith III, D.M.D.

  • Dentist
  • Strattanville, PA
  • NPI 1144609017
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1477089019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "STRATTANVILLE",
            "state": "PA",
            "postal_code": "162581903",
            "telephone_number": "814-980-4021",
            "fax_number": "814-764-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "STRATTANVILLE",
            "state": "PA",
            "postal_code": "162581903",
            "telephone_number": "814-980-4021",
            "fax_number": "814-764-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN L. CARRICO DMD INC.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "KUNSELMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-980-4021"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1720106768",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Heart Companions Inc
• Benjamin Lee Carrico, D.M.D.
• Clarion-Limestone Area School District
• Heather Jean Clover, ATC
• Tanya Marie Foster, BSN, RN

• General Practice Dentistry in Strattanville, PA
• Providers in Strattanville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.