Carothers Family Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10995 Issued in TX

Legal business name

CAROTHERS FAMILY DENTAL, PA

Practice address

310 Stagecoach Trail
Suite 700
San Marcos, TX 78666

Phone

(512) 396-4288

Fax

(512) 396-4379

NPI assigned

Jan 12, 2007

Last updated

Mar 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph C Sullivan III, DDSNPI 1811048465

Title

President

Phone

(512) 396-4288

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Claberon Sullivan III, DDS

  • General Practice Dentistry
  • San Marcos, TX
  • NPI 1811048465
  NPD (past) Authorized official
• Madelyn Elaine Swinney, DDS

  • General Practice Dentistry
  • San Marcos, TX
  • NPI 1285203729
  NPD
• Corey Clifford Carothers, DDS

  • Dentist
  • San Marcos, TX
  • NPI 1720299712
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1215088877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STAGECOACH TRL",
            "address_2": "SUITE 700",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665134",
            "telephone_number": "512-396-4288",
            "fax_number": "512-396-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STAGECOACH TRAIL",
            "address_2": "SUITE 700",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-396-4288",
            "fax_number": "512-396-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROTHERS FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-396-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Capaciete, OT
• Capital Dialysis of Texas (San Marcos Unit)
• Cares Clinic
• Caring Center for Women, PA
• Ann Mary Carney, OTR/L
• Corey Clifford Carothers, DDS
• Catherine Renee Carpenter, CRNA
• Emilio Carranco Jr., M.D.
• Jean Deborah Carter, PT
• Carus Dental PC (Carus Surgical Center San Marcos)

• General Practice Dentistry in San Marcos, TX
• Providers in San Marcos, 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 Mar 11, 2021; 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.