Active NPI
Dolores A. Cotrell-Carson, DENTIST
- Dentist
- Rochester, NY
National Provider Identifier
1518148469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 050981-1
- Practice address
- 82 Holland St
Rochester, NY 14605-2131 - Phone
- (585) 423-5800
- Fax
- (585) 423-2868
- NPI assigned
- Nov 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050981-1 | NY | Primary |
Addresses
Primary practice location
82 Holland St
Rochester, NY 14605-2131
Mailing address
82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050981-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1518148469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-5800",
"fax_number": "585-423-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-5800",
"fax_number": "585-423-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTRELL-CARSON",
"first_name": "DOLORES",
"middle_name": "A.",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "050981-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.