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Dr. Amanda Marie Carroll , DMD

Dentist - General Practice β€’ Florence, AZ

Active NPI 1023670338 Individual Practitioner Female Practitioner
Practice location in NPPES

1305 E Butte Ave
Florence, AZ 851329221

Call 6023805122 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1305 E Butte Ave

Florence, AZ 851329221

Telephone 6023805122
Organization at the Same NPPES Address or Phone
State Of Arizona Department Of Corrections Facility NPI 1255566477

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Carroll has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Carroll as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Florence and Arizona

4 active clinicians are listed under Dentist - General Practice with a practice address in Florence, AZ (2,483 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AZ D010413

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20220506000427

Enrollment State Jurisdiction

TX

PECOS Control ID

9739566050

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 29, 2020

Registered at 1305 E BUTTE AVE, FLORENCE, AZ 851329221 (Tel: 6023805122)

πŸ“
Updated Business Mailing Address April 29, 2020

Registered at 1305 E BUTTE AVE, FLORENCE, AZ 851329221 (Tel: 3092991379)

βœ…
NPI Profile Active July 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2019

Registered at 7438 E NIDO AVE, MESA, AZ 852096278 (Tel: 6023805122)

πŸ“
Business Mailing Address (Initial Record) July 08, 2019

Registered at 7438 E NIDO AVE, MESA, AZ 852096278 (Tel: 6023805122)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2019

Recorded as AMANDA CARROLL, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Dentist (license number reported to NPPES: AZ D010413)

🟒
Initial NPI Registration & Enumeration July 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023670338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2019
Last Update: April 29, 2020
Sole Proprietor: Yes

Mailing Address

1305 E Butte Ave

Florence, AZ 851329221

Phone: 3092991379

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.