Individual provider Active NPI

Carla Garcia Carreno, M.D.

  • Pediatric Infectious Diseases Physician
  • Carrollton, TX
National Provider Identifier
1073727442
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
N5066 Issued in TX
Practice address
4014 Crestwood Dr
Carrollton, TX 75007-1645
Phone
(214) 340-3513
Fax
(214) 340-1694
NPI assigned
May 9, 2007
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X N5066 TX Primary

Addresses

Primary practice location

4014 Crestwood Dr
Carrollton, TX 75007-1645

Mailing address

4014 Crestwood Dr
Carrollton, TX 75007-1645
Phone (214) 855-8510

Other names 1

  • Carla Gabriela Garcia Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100727001013 TX Practitioner - Pediatric MedicinePractitioner - Infectious Disease 4385777366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC CurrentSince Jan 1, 2018 Accepting new patients
Pid Associates, P.a. Pediatric Infectious Diseases Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1073727442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CRESTWOOD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071645",
            "telephone_number": "214-855-8510",
            "fax_number": "214-340-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CRESTWOOD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071645",
            "telephone_number": "214-340-3513",
            "fax_number": "214-340-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRENO",
        "first_name": "CARLA",
        "middle_name": "GARCIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TX",
            "license": "N5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "GARCIA",
            "middle_name": "GABRIELA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.