Amber Marie Carroll, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS043585 Issued in PA

Practice address

12 Ortega St
Tamaqua, PA 18252-4511

Phone

(570) 668-2339

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Carroll Dental LLC

  • Dentist
  • Tamaqua, PA
  • NPI 1538039086
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1851021570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 FAIRVIEW ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524724",
            "telephone_number": "570-225-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ORTEGA ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524511",
            "telephone_number": "570-668-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suesean@ptd.net",
            "affiliation": "N",
            "address_1": "12 Ortega St",
            "city": "Tamaqua",
            "state": "PA",
            "country_code": "US",
            "postal_code": "182524511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanne Calabrese, DO
• Carbon - Schuylkill Community Hospital Inc (St. Luke's Miners Health Center Hometown)
• Care Link Home Care Services, LLC
• Cares Community and Residential Empowerment Services Inc
• Carroll Dental LLC
• Nicole Chwastiak, DPM
• Richard Chwastiak, DPM
• Commonwealth Emergency Services (Commonwealth EMS)
• Rachel Connely, MS, ATC, LAT
• Laura Josephine D'Amato, PA-C

• Dentist in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.