Active NPI
Alan Wayne Carruth, M.D.
- Anesthesiology Physician
- Flower Mound, TX
National Provider Identifier
1124122361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- F9284
- Practice address
- 4605 Oak Springs Dr
Flower Mound, TX 75028-7329 - Phone
- (214) 929-9875
- Fax
- (972) 355-4884
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | F9284 | TX | Primary |
Addresses
Primary practice location
4605 Oak Springs Dr
Flower Mound, TX 75028-7329
Mailing address
4605 Oak Springs Dr
Flower Mound, TX 75028-7329
Phone (214) 929-9875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110815104 | Medicaid | TX |
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 |
|---|---|---|---|
| F9284 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1124122361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 OAK SPRINGS DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287329",
"telephone_number": "214-929-9875",
"fax_number": "972-355-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 OAK SPRINGS DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287329",
"telephone_number": "214-929-9875",
"fax_number": "972-355-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUTH",
"first_name": "ALAN",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "F9284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110815104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.