Benjamin Lee Carrico, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036553 Issued in PA

Practice address

95 Main St
Strattanville, PA 16258-1903

Phone

(814) 980-4021

Fax

(814) 764-6173

NPI assigned

Mar 27, 2007

Last updated

May 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benjamin L. Carrico DMD Inc.PC

  • General Practice Dentistry
  • Strattanville, PA
  • NPI 1477089019
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1720106768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "STRATTANVILLE",
            "state": "PA",
            "postal_code": "162581903",
            "telephone_number": "814-980-4021",
            "fax_number": "814-764-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "STRATTANVILLE",
            "state": "PA",
            "postal_code": "162581903",
            "telephone_number": "814-980-4021",
            "fax_number": "814-764-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "BENJAMIN",
        "middle_name": "LEE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin L. Carrico DMD Inc.PC
• Caring Heart Companions Inc
• Clarion-Limestone Area School District
• Heather Jean Clover, ATC
• Tanya Marie Foster, BSN, RN
• Jeffrey P Karls, D.O.
• Lori E. Reed (Caring Heart Companions)

• General Practice Dentistry in Strattanville, PA
• Providers in Strattanville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.