Individual provider Active NPI

Katyleydis NA Del Pino Caro, DDS

  • General Practice Dentistry
  • Converse, TX
National Provider Identifier
1134469356
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28625 Issued in TX
Practice address
9205 FM 78
Apt 8204
Converse, TX 78109-2961
Phone
(702) 204-7445
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28625 TX Primary

Addresses

Primary practice location

9205 FM 78
Apt 8204
Converse, TX 78109-2961

Mailing address

9205 FM 78 Apt 8204
Converse, TX 78109-2961
Phone (702) 204-7445

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

LicenseStateTypeSpecialty
28625TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo City Family Dentistry, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1134469356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 FM 78 APT 8204",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092961",
            "telephone_number": "702-204-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 FM 78",
            "address_2": "APT 8204",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092961",
            "telephone_number": "702-204-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL PINO CARO",
        "first_name": "KATYLEYDIS",
        "middle_name": "NA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.