CHRISTOPHER E CARROLL (NPI# 1871570556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871570556 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER E CARROLL |
| Credential | DMD |
| Practice Address |
150 East Fourth St Winona MN 55987-3512 |
| Practice Telephone | 5074521543 |
| Practice Fax Number | 5074526874 |
| Mailing Telephone | 5074521543 |
| Mailing Fax Number | 5074526874 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8405 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN STATE ID | 4822990 | 01 |
| WI | WI MEDICAL ASSISTANCE | 33461700 | 01 |
| MN | DORAL DENTAL | 0010503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205389335 | Christopher Shane Carroll | Nurse Practitioner | 10706 Marlboro Ave., Barnwell, SC 29812-2516 | 2016-07-25 |
| 1558628412 | Christopher Patrick Carroll | Neurological Surgery | 1515 Sw Archer Road, Department of Neurosurgery, Gainesville, FL 32610 | 2012-04-17 |
| 1598884215 | Christopher Carroll | Physical Therapist | 9119 Shadow Glen Way, Fort Myers, FL 33913-6602 | 2007-03-28 |
| 1952470858 | Christopher B Carroll | Psychologist | 7 Bluff Rd, Glen Cove, NY 11542-1770 | 2006-11-06 |
| 1053971838 | Christopher Allen Carroll | Physical Therapist | 1409 Highway 62 65 N Ste 4, Harrison, AR 72601-1970 | 2019-06-14 |
| 1255897542 | Christopher Carroll | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-12 |
| 1174004089 | Christopher Carroll | Pharmacist | 100 E College Dr, Colby, KS 67701-3702 | 2018-08-28 |
| 1811378094 | Christopher Michael Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-14 |
| 1043317647 | Christopher Scott Carroll | Dentist | 4535 Normal Blvd, Ste 292, Lincoln, NE 68506 | 2006-09-19 |
| 1003918673 | Christopher Patrick Carroll | Family Medicine | 9400 Turkey Lake Rd, Orlando, FL 32819-8001 | 2006-09-02 |
| Street Address |
150 EAST FOURTH ST |
| City | WINONA |
| State | MN |
| Zip Code | 55987-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215074646 | Yasemin Yesil | Dentist | 150 E 4th St, Winona, MN 55987-3512 | 2007-02-01 |
| 1275756488 | Christopher E Carroll | Dentist | 150 E 4th St, Winona, MN 55987-3512 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025906 | Riverdale Kidds Pediatric Dentistry, Pllc | Dentist | 3585 124th Ave Nw Ste 400, Coon Rapids, MN 55433-1008 | 2018-12-21 |
| 1467924290 | Camp Smile Pediatric Dentistry Excelsior Pllc | Dentist | 675 Water St Ste 2, Excelsior, MN 55331-3072 | 2018-12-18 |
| 1932671765 | Camp Smile Pediatric Dentistry Chaska | Dentist | 111 Hundertmark Rd Ste 304n, Chaska, MN 55318-1587 | 2018-12-18 |
| 1538678057 | Blaine Kidds Pediatric Dentistry Pllc | Dentist | 1351 113th Ave Ne, Blaine, MN 55434-3874 | 2017-09-27 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1710367925 | Lindsay Bedeaux | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2015-06-02 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1396186813 | Central Minnesota Pediatric Dentists Pa | Dentist | 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 | 2013-07-12 |
| 1265873707 | Central Minnesota Pediatric Dentists Pa | Dentist | 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 | 2013-07-12 |
| 1013264621 | Northland Dental Partners | Dentist | 3507 Round Lake Blvd. Suite 900, Anoka, MN 55303 | 2012-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.