Robert Carroll, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10415 Issued in SC

Practice address

5953 Wescott Rd
Columbia, SC 29212-2717

Phone

(803) 781-5225

NPI assigned

Apr 16, 2020

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 NC

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

Practice roles

Locations

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

• Carroll Orthodontics , P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, SC
  • NPI 1982381810
  NPD Authorized official
• Pitner Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, SC
  • NPI 1760830558
  NPD (past)

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1770102097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 RIVER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128809",
            "telephone_number": "038-518-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 WESCOTT RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122717",
            "telephone_number": "803-781-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "10415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Carrington
• Omysha Carrington
• Carroll Orthodontics , P.C.
• Christine Carroll, PA
• John Michael Carroll, M.D.
• Tara P Carroll, MCD, CCC/A
• Rhonwyn Carson-Moore, PHD
• Virginia Carson, R.PH.
• Ryan Brad Carsten
• Alice Weathers Carswell

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.