Individual provider Active NPI

Carol Linda Haggerty, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1902828171
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DTP397 Issued in FL
Practice address
Unc School of Dentistry
3120 Old Dental BLDG CB 7450
Chapel Hill, NC 27599-7450
Phone
(919) 966-7575
NPI assigned
Jul 24, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DTP397 FL Primary
General Practice Dentistry 1223G0001X 291015607 MI
General Practice Dentistry 1223G0001X 0096 NC

Addresses

Primary practice location

Unc School of Dentistry
3120 Old Dental BLDG CB 7450
Chapel Hill, NC 27599-7450

Mailing address

Unc School of Dentistry
3120 Old Dental BLDG CB 7450
Chapel Hill, NC 27599-7450
Phone (919) 966-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20151207003078 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315247749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12532NCMDProfessional Counselor
DTP397FLMDGeneral Practice Dentistry
291015607MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Student Dental Clinics, Unc School of Dentistry Past Accepting new patients
Unc Oral & Maxillofacial Pathology Laboratory Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chaggerty582439@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1902828171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY",
            "address_2": "3120 OLD DENTAL BLDG CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-966-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY",
            "address_2": "3120 OLD DENTAL BLDG CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-966-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "CAROL",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DTP397",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "291015607",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "0096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.