Carmen Blunt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33429 Issued in TX

Practice address

4431 W Walnut St Ste a
Garland, TX 75042-4108

Phone

(972) 485-1200

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By 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

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.

• Smile Muse Dentistry PLLC

  dba Smile Muse Spa

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1326847740
  NPD (past)
• Smiley Dental Walnut, PLLC

  • General Practice Dentistry
  • Garland, TX
  • NPI 1154470003
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1275057150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 CONANT LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358102",
            "telephone_number": "501-681-6419",
            "fax_number": "501-681-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 W WALNUT ST STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424108",
            "telephone_number": "972-485-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Angele Blondel, MD
• Jamila Aisha Blount, FNP-C
• Sharhonda Blue, PA-C
• Bluehaven Psychiatry PLLC
• Blueprints at Room for Change PLLC
• Bodavula Pediatrics PLLC
• Phani Bodavula, M.D.
• Sreevani Bodavula, APRN, FNP-C
• Jillian M Boehm, PA-C
• Felicia Boggess

• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 Aug 1, 2017; 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.