Active NPI
Carolyn Margaret Evelyn Shreck, DDS
- Endodontics
- Raymond, NH
National Provider Identifier
1821196015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3350
- Practice address
- 37 Epping Street
Raymond, NH 03077 - Phone
- (603) 895-3161
- Fax
- (603) 895-3993
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3350 | NH | Primary |
Addresses
Primary practice location
37 Epping Street
Raymond, NH 03077
Mailing address
37 Epping Street
Raymond, NH 03077
Phone (603) 895-3161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3350 | Other | NH | STATE |
Other names 1
- Dr. Carolyn Margaret Evelyn Mankiewicz
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 |
|---|---|---|---|
| 3350 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821196015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 EPPING STREET",
"city": "RAYMOND",
"state": "NH",
"postal_code": "03077",
"telephone_number": "603-895-3161",
"fax_number": "603-895-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EPPING STREET",
"city": "RAYMOND",
"state": "NH",
"postal_code": "03077",
"telephone_number": "603-895-3161",
"fax_number": "603-895-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRECK",
"first_name": "CAROLYN",
"middle_name": "MARGARET EVELYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NH",
"license": "3350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "3350",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "MANKIEWICZ",
"middle_name": "MARGARET EVELYN",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Raymond, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.