Carol Anne McCabe, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN22401 Issued in FL

Practice address

512 Pelican Pointe Rd
Ponte Vedra, FL 32081-1533

Phone

(631) 974-7460

Fax

(631) 974-7460

NPI assigned

Aug 31, 2006

Sex

Female

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 1

Other names 1

• Dr. Carol Anne McCabe Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679684724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 PELICAN POINTE RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811533",
            "telephone_number": "631-974-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PELICAN POINTE RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811533",
            "telephone_number": "631-974-7460",
            "fax_number": "631-974-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Asbury Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Asbury",
            "state": "NJ",
            "postal_code": "088021040",
            "country_code": "US",
            "telephone_number": "610-252-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF DENTISTRY",
            "identifier": "DN22401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MCCABE",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.