Carly Morgan Tipton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10474 Issued in TN

Practice address

1975 W Elk Ave Ste 2
Elizabethton, TN 37643-3787

Phone

(423) 543-2755

Fax

(423) 543-7717

NPI assigned

May 18, 2017

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1730616897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 W ELK AVE STE 2",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433787",
            "telephone_number": "423-543-2755",
            "fax_number": "423-543-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W ELK AVE STE 2",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433787",
            "telephone_number": "423-543-2755",
            "fax_number": "423-543-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "CARLY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9924",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lucas Andrew Tipton, DMD
• Laurie E Trosin, MD
• Jessica B Tuberty, M.D.
• Union Prescription of Elizabethton Tennessee Inc (Union Prescription Shop)
• Valley Ridge Emergency Physicians, LLP

• General Practice Dentistry in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.