Organization Active NPI

Annie B Carberry DDS, PLLC

Doing business as Carberry Family Dentistry

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1902494339
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANNIE B CARBERRY DDS, PLLC
Doing business as
Carberry Family Dentistry
Practice address
6725 Fairview Rd Ste B
Charlotte, NC 28210-5327
Phone
(704) 365-6650
NPI assigned
Dec 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Dr. Annie Brooks Carberry, DDS
Title
Owner Doctor
Phone
(704) 365-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6725 Fairview Rd Ste B
Charlotte, NC 28210-5327

Mailing address

6725 Fairview Rd Ste B
Charlotte, NC 28210-5327
Phone (704) 365-6650

Other names 1

  • Carberry Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6725 Fairview Rd
Ste B
Charlotte, NC 28210
Phone (704) 365-6650

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": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1902494339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 FAIRVIEW RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105327",
            "telephone_number": "704-365-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 FAIRVIEW RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105327",
            "telephone_number": "704-365-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE B CARBERRY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "CARBERRY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "704-365-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carberry Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.