Active NPI
Carsen Robert McDaniel, DDS
- Dentist
- Fort Bliss, TX
National Provider Identifier
1023500675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10844329-8903
- Practice address
- 2954 Carrington Rd
Fort Bliss, TX 79916 - Phone
- (915) 742-2685
- NPI assigned
- May 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10844329-8903 | UT | Primary |
Addresses
Primary practice location
2954 Carrington Rd
Fort Bliss, TX 79916
Mailing address
33801 Academic Drive
Fort Gordon, GA 30905
Phone (706) 787-6927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10844329-8903 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1023500675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33801 ACADEMIC DRIVE",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 CARRINGTON RD",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79916",
"telephone_number": "915-742-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "CARSEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-30",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "10844329-8903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.