Active NPI
Paul Carmichael, D. D. S., LLC
- General Practice Dentistry
- Quaker Hill, CT
National Provider Identifier
1861639973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8740
- Practice address
- 26 C Quaker Hill Mall Route 32
Quaker Hill, CT 06375 - Phone
- (860) 442-6007
- Fax
- (860) 442-6007
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8740 | CT | Primary |
Addresses
Primary practice location
26 C Quaker Hill Mall Route 32
Quaker Hill, CT 06375
Mailing address
P. O. Box 426
Quaker Hill, CT 06375
Phone (860) 442-6007
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 |
|---|---|---|---|
| 8740 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231718400000",
"number": "1861639973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 426",
"city": "QUAKER HILL",
"state": "CT",
"postal_code": "06375",
"telephone_number": "860-442-6007",
"fax_number": "860-442-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 C QUAKER HILL MALL ROUTE 32",
"city": "QUAKER HILL",
"state": "CT",
"postal_code": "06375",
"telephone_number": "860-442-6007",
"fax_number": "860-442-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D. D. S., LLC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "8740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quaker Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.