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NPI · 1205192663 · NPPES-sourced

Jacob Carroll DMD

ActiveOral and Maxillofacial Surgery (Dentist)
NPI Number
1205192663
Type 1 · Individual
Contact
(623) 572-4300
License AZ · D9440
Last Updated
Enumerated
Primary practice addressAZ · 85308-5125
20100 N 51st Ave, Suite C-310Glendale, AZ 85308-5125
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About this NPIWhat this record shows.

NPI 1205192663 is registered to Jacob Carroll DMD, a Oral and Maxillofacial Surgery (Dentist) practising at 20100 N 51st Ave, Suite C-310 in Glendale, Arizona. Oral and Maxillofacial Surgery (Dentist) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jacob Carroll DMD has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacob Carroll DMD accepts. To confirm in-network status with your specific health plan, contact Jacob Carroll DMD directly at (623) 572-4300.

Frequently asked

Yes. NPI 1205192663 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Oral and Maxillofacial Surgery (Dentist) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (623) 572-4300.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacob Carroll DMD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223S0112X
Last updated
Enumerated
StatusActive
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