NPIMap

Organization Active NPI

Shari Carroll DMD, P.C.

  • Pediatric Dentistry
  • Redondo Beach, CA
National Provider Identifier
1851873590
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
64148 Issued in CA
Legal business name
SHARI CARROLL DMD, P.C.
Practice address
1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903
Phone
(310) 357-4414
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. Shari Carroll, DMDNPI 1881907145
Title
President
Phone
(310) 357-4414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 64148 CA Primary

Addresses

Primary practice location

1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903

Mailing address

1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903
Phone (310) 357-4414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1851873590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777903",
            "telephone_number": "310-357-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777903",
            "telephone_number": "310-357-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI CARROLL DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-357-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "64148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.