Kendall Edward Carll II, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

M8573 Issued in TX

Practice address

8080 Independence Pkwy Ste 230
Plano, TX 75025

Phone

(469) 998-2273

Fax

(469) 998-2272

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Florida College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

365 Spine Care of North Texas, PLLCGroup PAC ID 8527328772, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcarll@direct.uspi.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 365 Spine Care of North Texas, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1730696956
  Medicare reassignment Care Compare group NPD Authorized official
• Krap, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1831698703
  NPD Authorized official
• Neurologic Protection Services, PLLC

  • Clinical Neurophysiology Physician
  • Dallas, TX
  • NPI 1699271312
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1063596997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254013",
            "telephone_number": "469-998-2273",
            "fax_number": "469-998-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "469-998-2273",
            "fax_number": "469-998-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17051 Dallas Pkwy Ste 400",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017101",
            "country_code": "US",
            "telephone_number": "214-370-3535",
            "fax_number": "214-370-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLL",
        "first_name": "KENDALL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "TRN6843",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M8573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8BW305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00697462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Heart Manor LLC
• Caringrx Pharmacy
• Natalie Carl
• Lindsey Carletti
• Jamie Carlile, D.D.S
• Amanda Georgie Carlough, CPNP-AC
• Lori Ann Carlough, RN
• Dennis Jason Carlson, PA-C
• Erin Carlson, LPC
• Laura Elizabeth Carlson, NP-C

• Orthopaedic Surgery of the Spine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.