Active NPI
Access Carroll, Inc.
- Dental Clinic/Center
- Westminster, MD
National Provider Identifier
1649709130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ACCESS CARROLL, INC.
- Practice address
- 10 Distillery Rd Ste 200
Westminster, MD 21157-5344 - Phone
- (410) 871-1478
- NPI assigned
- Jun 8, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Lee Black, RN
- Title
- Executive Director and Ceo
- Phone
- (410) 871-3218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
10 Distillery Rd Ste 200
Westminster, MD 21157-5344
Mailing address
10 Distillery Drive
Suite 200
Westminster, MD 21157
Phone (410) 871-1478
National Provider Directory
National Provider Directory- Tax ID family
- Access Carroll Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Westminster, MD
- NPI 1659800142
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Westminster, MD
- NPI 1730618224
-
- Multi-Specialty Clinic/Center
- Westminster, MD
- NPI 1891113221
-
- Community Health Clinic/Center
- Westminster, MD
- NPI 1982146353
Interoperability endpoints
- https://api.platform.athenahealth.com/9462/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1649709130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DISTILLERY DRIVE",
"address_2": "SUITE 200",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-871-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DISTILLERY RD STE 200",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575344",
"telephone_number": "410-871-1478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS CARROLL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND CEO",
"authorized_official_telephone_number": "410-871-3218",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.