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

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 and National Provider Directory roles.

• Kyle Dental and Braces PLLC

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

  • 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 of Austin LLC
• 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

• All providers in Kyle, TX
• 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.