Thomas D Carrroll, DDS
Individual provider Active NPI Dentist · Dublin, TX
NPI 1871763409 · NPPES record last updated Jul 22, 2023
Key facts
- NPI
- 1871763409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 14162 (TX)
- Practice address
- 114 N Grafton
Dublin, TX 76446 - Phone
- (254) 445-3494
- Fax
- (254) 445-2885
- NPI assigned
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14162 | TX | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14162 | TX | Yes |
Addresses
Primary practice location
114 N Grafton
Dublin, TX 76446
Mailing address
114 N Grafton
Dublin, TX 76446
Phone (254) 445-3494
NPI Registry JSON
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1871763409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N GRAFTON",
"city": "DUBLIN",
"state": "TX",
"postal_code": "76446",
"telephone_number": "254-445-3494",
"fax_number": "254-445-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N GRAFTON",
"city": "DUBLIN",
"state": "TX",
"postal_code": "76446",
"telephone_number": "254-445-3494",
"fax_number": "254-445-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRROLL",
"first_name": "THOMAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2023-07-22",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.