Active NPI
Carrie Adele Danner, MD
- Pediatrics Physician
- Cedar Park, TX
National Provider Identifier
1073837381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N2460
- Practice address
- 345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4483 - Phone
- (512) 336-2777
- Fax
- (512) 336-2778
- NPI assigned
- Mar 16, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N2460 | TX | Primary |
Addresses
Primary practice location
345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4483
Mailing address
PO Box 52001
Dept 923
Phoenix, AZ 85072-2001
Phone (512) 336-2777
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N2460 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1073837381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52001",
"address_2": "DEPT 923",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850722001",
"telephone_number": "512-336-2777",
"fax_number": "512-336-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD",
"address_2": "STE 104",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134483",
"telephone_number": "512-336-2777",
"fax_number": "512-336-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNER",
"first_name": "CARRIE",
"middle_name": "ADELE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N2460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.