Carly Jean Schaefer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40026 Issued in TX

Practice address

5401 FM 1626 Ste 190
Kyle, TX 78640-6044

Phone

(512) 268-3384

NPI assigned

Jun 16, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyle Dental and Braces PLLC

  dba Kyle Dental and Braces

  • Dental Clinic/Center
  • Kyle, TX
  • NPI 1356017123
  NPD
• Brighton Smiles - Gaspar PLLC

  dba Kyle Dental

  • General Practice Dentistry
  • Kyle, TX
  • NPI 1609116011
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1245915420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TOWN CREEK DR UNIT 455",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411517",
            "telephone_number": "517-896-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 FM 1626 STE 190",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406044",
            "telephone_number": "512-268-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "CARLY",
        "middle_name": "JEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satellite Healthcare Central States LLC (Satellite Healthcare Kyle)
• Satellite Healthcare of Austin LLC (Satellite Healthcare Kyle)
• Angelica Saucedo, MED, BCBA, LBA
• Stephanie Garcia Saunders, CPM LM
• Christine Savage, LPC
• David P Schauer, MD
• Joy Nicole Schauer
• Matthew Schulke, PMHNP-BC
• Ariel M Schultz, RBT
• Ezabella Schultz

• Dentist in Kyle, TX
• Providers in Kyle, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.