Carroll Willis Ehrhart, DDS
Individual provider Active NPI Dentist · Windsor, PA
NPI 1649320862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649320862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS018509L (PA)
- Practice address
- 27 W High St
Windsor, PA 17366 - Phone
- (717) 244-7734
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000185 | PA | Order and Referring Only - Dentist |
4880906338 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018509L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS018509L | PA | Yes |
Addresses
Primary practice location
27 W High St
Windsor, PA 17366
Mailing address
PO Box 160
27 W High St
Windsor, PA 17366
Phone (717) 244-7734
Other providers in Windsor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.