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Deactivated NPI 1366875700 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick Carney , DDS

Dentist • Mendocino, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patrick Carney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2013
NPI Deactivation Date August 07, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Carney, DDS was a registered Dentist practicing in Mendocino, CA. Throughout an active medical career spanning 11 years, Dr. Carney provided care at the practice location at 45160 MAIN ST until profile deactivation on 2024-08-07.

Practice Location & Contact Primary Location

Practice Address

45160 Main St

Mendocino, CA 954602477

Telephone 7079370255
Associated Practice Facility / Clinic
🏢 Evergreen Plaza Dental, Inc Facility NPI 1750406963

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mendocino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Mendocino, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 27738

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2024

Record deactivated on August 07, 2024

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2016

Registered at 45160 MAIN ST, MENDOCINO, CA 954602477 (Tel: 7079370255)

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Updated Business Mailing Address November 07, 2016

Registered at PO BOX 2477, MENDOCINO, CA 954602477 (Tel: 7079611839)

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Provider Name / Credentials Updated November 07, 2016

Recorded as PATRICK CARNEY, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Dentist (License #27738 in CA)

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Initial NPI Registration & Enumeration August 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366875700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2013
Last Update: November 07, 2016
Deactivation Date: August 07, 2024

Mailing Address

Po Box 2477

Mendocino, CA 954602477

Phone: 7079611839

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.