Organization Active NPI

Carratola & Merrill, DDS, LLC

  • General Practice Dentistry
  • New London, OH
National Provider Identifier
1760680326
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARRATOLA & MERRILL, DDS, LLC
Practice address
63 E Main St
New London, OH 44851-1233
Phone
(419) 929-1544
Fax
(419) 929-0402
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Louis Michael Carratola, D.D.S.
Title
Managing Member-Dentist
Phone
(419) 929-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

63 E Main St
New London, OH 44851-1233

Mailing address

63 E Main St
New London, OH 44851-1233
Phone (419) 929-1544

Other identifiers 1

IdentifierTypeStateIssuer
2743884MedicaidOH

National Provider Directory

National Provider Directory

Locations

63 E Main St
New London, OH 44851
Phone (419) 929-1544

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1760680326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511233",
            "telephone_number": "419-929-1544",
            "fax_number": "419-929-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511233",
            "telephone_number": "419-929-1544",
            "fax_number": "419-929-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRATOLA & MERRILL, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "CARRATOLA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER-DENTIST",
        "authorized_official_telephone_number": "419-929-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2743884",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.