Active NPI
Seth Carr
- Registered Dietitian
- Wylie, TX
National Provider Identifier
1104285550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84027
- Practice address
- 600 Cooper Dr
#130
Wylie, TX 75098-3910 - Phone
- (972) 442-6525
- NPI assigned
- Feb 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84027 | TX | Primary |
Addresses
Primary practice location
600 Cooper Dr
#130
Wylie, TX 75098-3910
Mailing address
325 Meadow View Dr
Lavon, TX 75166-1247
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 |
|---|---|---|---|
| DT84027 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455408000000",
"number": "1104285550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MEADOW VIEW DR",
"city": "LAVON",
"state": "TX",
"postal_code": "751661247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COOPER DR",
"address_2": "#130",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983910",
"telephone_number": "972-442-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "SETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-14",
"last_updated": "2016-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.