John A. Carroll, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

106245 Issued in CO

Practice address

26 W Dry Creek Cir
Suite 740
Littleton, CO 80120-8063

Phone

(303) 224-0500

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 29, 2019 through Apr 29, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Centennial Surgical Specialists PC

  dba Peak Oral & Maxillofacial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Littleton, CO
  • NPI 1841975992
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982711370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR",
            "address_2": "SUITE 740",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208063",
            "telephone_number": "303-224-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR",
            "address_2": "SUITE 740",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208063",
            "telephone_number": "303-224-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "106245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Carreira, DENTAL HYGIENIST
• Erin Lillian Carreon Gallegos
• Karen M Carreon, RMT
• Sadaf Carrillo
• Jill Kathryn Carroll, COT
• Sarah May Carroll
• Tracy M Carroll
• Connie Carson
• Ariella Moriah Carter, LPC
• Elizabeth Joy Carter, APN

• Oral and Maxillofacial Surgery (Dentist) in Littleton, CO
• Providers in Littleton, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.