Patrick W Carroll, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2330 Issued in AR

Practice address

301 Country Club Rd
Ste a
Pocahontas, AR 72455-8802

Phone

(870) 892-4413

Fax

(870) 248-1903

NPI assigned

Jun 13, 2005

Last updated

May 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AR

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

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.

• Patrick Carroll, D.D.S.

  • Dental Clinic/Center
  • Pocahontas, AR
  • NPI 1558957274
  NPD Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1861496267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COUNTRY CLUB RD",
            "address_2": "STE A",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724558802",
            "telephone_number": "870-892-4413",
            "fax_number": "870-248-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COUNTRY CLUB RD",
            "address_2": "STE A",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724558802",
            "telephone_number": "870-892-4413",
            "fax_number": "870-248-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Cagle, APRN
• Rachel Calk, QBHP
• Camden Medical Supply Inc (Health-Way Medical Supply)
• Benjamin Carr, QBHP.
• Dillinger Carr, PTA
• Laura Carter, RN
• Bridgette Casillas, LPN
• Rolando L Cheng, M.D.
• John Chester, MHPP
• Jessica Choate, COTA/L

• Dentist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.