Carrie Ellen Pumphrey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010371 Issued in IN

Practice address

1818 N Riley Hwy
Suite a
Shelbyville, IN 46176-9171

Phone

(317) 392-1468

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blue River Dental Care, PC

  • General Practice Dentistry
  • Shelbyville, IN
  • NPI 1396966099
  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1609967330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N RILEY HWY",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461769171",
            "telephone_number": "317-392-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N RILEY HWY",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461769171",
            "telephone_number": "317-392-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "CARRIE",
        "middle_name": "ELLEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Porath, DMD
• Sydney Posz
• Tiong Oen Pouw, M.D.
• Premise Health of Indiana Medical PC
• Priority Care, LLC
• Shannon Pyle
• Nicole Renee Quainoo, RN, MSN, APRN, FNP-C
• Amber Dawn Rader, NP-C
• Dorothy Rado-Wilfong, LCSW, LMFT, ACSW
• Randall L Miller DDS LLC

• General Practice Dentistry in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.