Steven A. Carroll, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007119 Issued in VA

Practice address

3410 County St
Portsmouth, VA 23707-3205

Phone

(757) 393-2568

Fax

(757) 399-5069

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr.'S Althouse, Carroll and Alperin

  • General Practice Dentistry
  • Portsmouth, VA
  • NPI 1245576677
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548367287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 COUNTY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073205",
            "telephone_number": "757-393-2568",
            "fax_number": "757-399-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 COUNTY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073205",
            "telephone_number": "757-393-2568",
            "fax_number": "757-399-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEVEN",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "050060",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "062287",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMINION DENTAL PROVIDER",
            "identifier": "2726",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lyne Carradine, DO
• Sonja Denise Carraway
• Brent Michael Carreiro, DO
• Christopher Patrick Carroll, M.D.
• Jaimee Lee Carroll, FNP-C
• Eboni X Carter, MD
• Jeannette Pavel Carter, RN, IBCLC
• Michael Carter
• Michael Carter, DO
• Cheryll Nicolette Cash, M.D.

• General Practice Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.