Active NPI
Caroline Carruth, DMD
- Dentist
- Oxnard, CA
National Provider Identifier
1801035159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102351
- Practice address
- 183 E Gonzales Rd
Oxnard, CA 93036-8259 - Phone
- (805) 981-8116
- NPI assigned
- Feb 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6999-244-9922 | UT | |
| Dentist | 122300000X | 9851 | CO | |
| General Practice Dentistry | 1223G0001X | 30. 023122 | OH | |
| Dentist | 122300000X | 102351 | CA | Primary |
Addresses
Primary practice location
183 E Gonzales Rd
Oxnard, CA 93036-8259
Mailing address
183 E Gonzales Rd
Oxnard, CA 93036-8259
Phone (805) 981-8116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801035159 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102351 | CA | MD | Dentist |
| 9851 | CO | MD | Dentist |
| 6999-244-9922 | UT | MD | Dentist |
| 30. 023122 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Oxnard, CA
- NPI 1104034842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1801035159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 E GONZALES RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930368259",
"telephone_number": "805-981-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 E GONZALES RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930368259",
"telephone_number": "805-981-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUTH",
"first_name": "CAROLINE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "6999-244-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9851",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30. 023122",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801035159",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.