Gregory J Carroll, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

163544 Issued in CO

Practice address

1776 S Jackson St Ste 320
Denver, CO 80210-3803

Phone

(720) 325-8182

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1700424470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S ONEIDA ST APT 10-205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243161",
            "telephone_number": "702-325-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103803",
            "telephone_number": "720-325-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "163544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1776 S Jackson St Ste 320",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802103803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zenyace L Carrillo, RN
• Jaspar Carrington
• Raeann Carrington
• Bernard Leon Carroll, DDS
• David Carroll
• Heather Bosler Carroll, PSY.D.
• Jennifer Hiteshew Carroll, NP
• Jordan Taylor Carroll, DC
• Melissa N Carroll
• Patrick Ryan Carroll, DPT

• Acupuncturist in Denver, CO
• Providers in Denver, CO by specialty
• Acupuncturist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.