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JACOB R CARROLL DMD
NPI 1205192663
Dentist - Oral and Maxillofacial Surgery in Glendale, AZ

Active since April 10, 2012PECOS Enrolled
20100 N 51ST AVE, SUITE C-310, GLENDALE, AZ 85308(623) 572-4300 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob R Carroll Dmd NPPES

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

JACOB R CARROLL DMD (NPI 1205192663) is an individual oral and maxillofacial surgery provider in Glendale, Arizona, licensed in Arizona (D9440) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205192663
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJACOB R CARROLLCredential: DMD
Location Address20100 N 51ST AVE, SUITE C-310Glendale, AZ 85308-5125
Mailing Address20100 N 51st Ave, Suite C-310Glendale, AZ 85308-5125
Phone(623) 572-4300
Sole ProprietorYes
Enumeration DateApril 10, 2012
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1205192663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · D9440
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20100 N 51ST AVE, Glendale, AZ 85308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.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)

Jacob R Carroll Dmd 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 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

ENDOCRINOLOGY, DIABETES, AND THYROID CENTER OF ARIZONA PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
20100 N 51ST AVE, SUITE F-635
GLENDALE, AZ 85308
Maricopa County (623) 266-7858
STEVEN CHEN M.D.
Ophthalmology
20100 N 51ST AVE, SUITE E-570
GLENDALE, AZ 85308
Maricopa County (602) 993-9100
EMBRACE ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
20100 N 51ST AVE, SUITE B230
GLENDALE, AZ 85308
Maricopa County (623) 931-4386
NIRALI VINESH SONI PHARM D.
Pharmacist
20100 N 51ST AVE, SUITE #F640
GLENDALE, AZ 85308
Maricopa County (623) 521-5867
DR. TANNAZ ZAHRA MALEKZADEH DMD
Dentist (Periodontics)
20100 N 51ST AVE, STE F650
GLENDALE, AZ 85308
Maricopa County (623) 362-8969
EMILIE M WILLIS M.H.S, CCC-SLP
Speech-Language Pathologist
20100 N 51ST AVE, SUITE E-540
GLENDALE, AZ 85308
Maricopa County (623) 500-4201
JULIET NOEL ZUERCHER R.D.
Dietitian, Registered
20100 N 51ST AVE, F640-12
GLENDALE, AZ 85308
Maricopa County (623) 341-1517
DR. JASJEET KAUR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
20100 N 51ST AVE, SUITE F-635
GLENDALE, AZ 85308
Maricopa County (623) 266-7858

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 Jacob Carroll's NPI number?

The NPI number for Jacob Carroll is 1205192663. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Jacob Carroll located?

Jacob Carroll practices at 20100 N 51st Ave Suite C-310, Glendale, AZ 85308. The listed phone number is (623) 572-4300.

What is Jacob Carroll's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jacob Carroll enrolled in Medicare?

Yes. Jacob Carroll is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Carroll accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 13 other insurers list Jacob Carroll 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 Jacob Carroll was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.