Samuel Afton Carrell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30427 Issued in TX

Practice address

620 W Alabama St
Houston, TX 77006-5004

Phone

(713) 529-4364

Fax

(713) 529-4337

NPI assigned

Oct 14, 2014

Sex

Male

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

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Montrose DDS PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1750922126
  NPD Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1124422571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065004",
            "telephone_number": "713-529-4364",
            "fax_number": "713-529-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065004",
            "telephone_number": "713-529-4364",
            "fax_number": "713-529-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELL",
        "first_name": "SAMUEL",
        "middle_name": "AFTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Carrasquillo, DO
• Debra Carraway, LCDC
• Yoandre Michel Carrazana Perez, SA-C
• Jose Luis Carrejo, LCSW
• Colleen Carreker, LCSW
• Micana Carrenard, NP
• Carlos Carreno, MD
• Leigh Carreon, PNP-AC
• Rhodeline Bearneza Carreon, NP
• Samantha Amber Denee Carreon, PHD

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 14, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.