Individual provider Active NPI

Joshua Craig Carr, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1245726322
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36120 Issued in TX
Practice address
6211 W William Cannon Dr
Austin, TX 78749-1923
Phone
(512) 795-0008
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 36120 TX Primary

Addresses

Primary practice location

6211 W William Cannon Dr
Austin, TX 78749-1923

Mailing address

5204 Fort Clark Dr
Austin, TX 78745-2361
Phone (417) 849-2877

Other practice location 1

12854 Research Blvd
Austin, TX 78750-3222
Phone (512) 831-7918

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
36120TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
May Chen Professional Dental Association CurrentSince Jan 1, 2021 Accepting new patients
Fort Collins Modern Dentistry, LLP General Practice Past Accepting new patients

Locations

12854 Research Blvd
Austin, TX 78750
Phone (512) 831-7918

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1245726322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 FORT CLARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452361",
            "telephone_number": "417-849-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491923",
            "telephone_number": "512-795-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12854 Research Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787503222",
            "country_code": "US",
            "telephone_number": "512-831-7918",
            "fax_number": "512-831-7909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOSHUA",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.