Active NPI
Aaron Carroll
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sarasota, FL
National Provider Identifier
1992909808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN 16678
- Practice address
- 1617 S Tuttle Ave
Suite 2B
Sarasota, FL 34239-3132 - Phone
- (941) 366-1612
- Fax
- (941) 365-7806
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN 16678 | FL | Primary |
Addresses
Primary practice location
1617 S Tuttle Ave
Suite 2B
Sarasota, FL 34239-3132
Mailing address
1617 S Tuttle Ave
Suite 2B
Sarasota, FL 34239-3132
Phone (941) 366-1612
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 |
|---|---|---|---|
| DN 16678 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992909808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 S TUTTLE AVE",
"address_2": "SUITE 2B",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393132",
"telephone_number": "941-366-1612",
"fax_number": "941-365-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 S TUTTLE AVE",
"address_2": "SUITE 2B",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342393132",
"telephone_number": "941-366-1612",
"fax_number": "941-365-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "AARON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN 16678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.