Carla L Coston, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16489 Issued in TX

Practice address

3410 Far West Blvd
Ste. 340
Austin, TX 78731-3194

Phone

(512) 795-0128

Fax

(512) 795-8393

NPI assigned

Jul 20, 2005

Reactivated

Apr 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 13, 2016 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Derby Dental Care, PLLC

  • Dentist
  • Austin, TX
  • NPI 1750826608
  NPD (past)
• Derby Family Dental PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1083490825
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124027214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "STE. 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-795-0128",
            "fax_number": "512-795-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "STE. 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-795-0128",
            "fax_number": "512-795-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTON",
        "first_name": "CARLA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Ferdinand Louis Coste III, DO
• Rosalia Costello
• Yazmin Costopoulos
• Savannah Cothron, RBT
• Kate Cotnam, LPC
• John Cottey, M.D.
• Gina Rachelle Cottle, M.D.

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.