NPIMap

Organization Active NPI

Carus Dental PC

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1013382191
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30141 Issued in TX
Legal business name
CARUS DENTAL PC
Practice address
21450 Kuykendahl Rd Ste 140
Spring, TX 77379-2663
Phone
(512) 237-2448
Fax
(512) 237-2543
NPI assigned
Dec 1, 2015
Organization subpart
Yes
Parent organization
CARUS DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30141 TX Primary

Addresses

Primary practice location

21450 Kuykendahl Rd Ste 140
Spring, TX 77379-2663

Mailing address

21450 Kuykendahl Rd Ste 140
Spring, TX 77379-2663
Phone (512) 237-2448

Other names 1

  • Carus Dental Spring Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longorn Dental41 organizations share this tax ID, including this one
Part of
Longorn Dental

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

21450 Kuykendahl Rd
Ste 100
Spring, TX 77379

21450 Kuykendahl Rd
Ste 140
Spring, TX 77379
Phone (512) 237-2448

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1013382191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21450 KUYKENDAHL RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792663",
            "telephone_number": "512-237-2448",
            "fax_number": "512-237-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21450 KUYKENDAHL RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792663",
            "telephone_number": "512-237-2448",
            "fax_number": "512-237-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARUS DENTAL PC",
        "enumeration_date": "2015-12-01",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carus Dental Spring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.