DR. ANDREW RYAN CAROLAN D.D.S.
NPI 1053609008
Dentist - General Practice in Port Huron, MI

Q: What is Andrew Carolan's NPI number?

The NPI number for Andrew Carolan is 1053609008. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Andrew Carolan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Carolan was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2011PECOS Enrolled

901 SUPERIOR ST, PORT HURON, MI 48060(810) 982-7682 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Andrew Ryan Carolan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW RYAN CAROLAN D.D.S. (NPI 1053609008) is an individual general practice provider in Port Huron, Michigan, licensed in Michigan (2901020419) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053609008

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANDREW RYAN CAROLANCredential: D.D.S.

Location Address901 SUPERIOR STPort Huron, MI 48060-3746

Mailing Address901 Superior StPort Huron, MI 48060-3746

Phone(810) 982-7682

Sole ProprietorNo

Enumeration DateJuly 12, 2011

✔ NPI 1053609008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901020419

Definition

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.

901 SUPERIOR ST, Port Huron, MI 48060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Ryan Carolan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLAN FAMILY DENTISTRY

Dentist (General Practice)

901 SUPERIOR ST
PORT HURON, MI 48060

St. Clair County (810) 982-7682

DR. KEVIN BRUCE CAROLAN D.D.S.

Dentist (General Practice)

901 SUPERIOR ST
PORT HURON, MI 48060

St. Clair County (810) 982-7682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Carolan's NPI number?

The NPI number for Andrew Carolan is 1053609008. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Andrew Carolan located?

Andrew Carolan practices at 901 Superior St, Port Huron, MI 48060. The listed phone number is (810) 982-7682.

What is Andrew Carolan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrew Carolan enrolled in Medicare?

Yes. Andrew Carolan is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Carolan accept?

Health plans from Delta Dental of Michigan list Andrew Carolan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Carolan was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.