Carolyn M. Cantrell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6877 Issued in OR

Practice address

2233 Willamette St
Suite B
Eugene, OR 97405-2890

Phone

(541) 687-2156

Fax

(541) 684-9268

NPI assigned

Oct 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508855230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-687-2156",
            "fax_number": "541-684-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-687-2156",
            "fax_number": "541-684-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119524",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Cannell, RPH
• Ann Holly Cecil Cannon, NP
• Kellie C Cannon, DPT
• Lynda Jeanne Cannon, PTA
• Jeffrey Noel Canter, PA-C
• Salvador Cantu, CADC I
• Canusa Health Chiropractic
• Canusa Health Chiropractic PC
• Charity Capuras, NP
• Paula Carabell, LCAT

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.