1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Specialist
  6. NPI Profile

DR. RICHARD PAUL CARROLL M.D.
NPI 1407828007
Specialist in Minneapolis, MN

Active since February 07, 2006
4887 E LAKE HARRIET BLVD, MINNEAPOLIS, MN 55419(612) 325-0317 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Paul Carroll M.d. NPPES

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

DR. RICHARD PAUL CARROLL M.D. (NPI 1407828007) is an individual specialist in Minneapolis, Minnesota, licensed in Minnesota (21566) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1407828007
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RICHARD PAUL CARROLLCredential: M.D.
Location Address4887 E LAKE HARRIET BLVDMinneapolis, MN 55419-5222
Mailing Address4887 E Lake Harriet BlvdMinneapolis, MN 55419-5222 · (612) 325-0317
Phone(612) 325-0317
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 27, 2010
✔ NPI 1407828007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 21566
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4887 E LAKE HARRIET BLVD, Minneapolis, MN 55419
Open in Google Maps ↗

Other Identifiers 7

Medicaid648872200MN
Medicare PINCR4206MN
Medicare UPINA94563MN
Other31260500WI · Wisconsin Ma Provider No.
Medicare PIN180000103MN
Medicare PIN240001360GA
Other6D561CAMN · Bcbs Provider Number

Other Providers at the Same Location NPPES

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

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A.
Specialist
4887 E LAKE HARRIET BLVD
MINNEAPOLIS, MN 55419
Hennepin County (612) 325-0317

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 Richard Carroll's NPI number?

The NPI number for Richard Carroll is 1407828007. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Richard Carroll located?

Richard Carroll practices at 4887 E Lake Harriet Blvd, Minneapolis, MN 55419. The listed phone number is (612) 325-0317.

What is Richard Carroll's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Richard Carroll was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.