Destinie Carroll, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30986 Issued in TX

Practice address

3121 N George Bush Fwy
#113
Garland, TX 75040-2752

Phone

(469) 368-9889

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Ideal Dental and Orthodontics

  • General Practice Dentistry
  • Garland, TX
  • NPI 1962647388
  NPD (past)
• Ideal Dental of Garland PLLC

  • Dentist
  • Garland, TX
  • NPI 1477976223
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1326429093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N GEORGE BUSH FWY",
            "address_2": "#113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402752",
            "telephone_number": "469-368-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N GEORGE BUSH FWY",
            "address_2": "#113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402752",
            "telephone_number": "469-368-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DESTINIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton K Clarke M.D., P.a,
• Lisette Carlton, MS CCC-SLP
• Carnival Dental PLLC
• Carolyn's Unique Learning Activity Center Limited Liability Company
• Rachel Carrillo
• Carrollton Surgery Center PA
• Carrus Behavioral Hospital LLC (Carrus Care Garland)
• Carter Care Services Incorporated (Carter Care Therapeutic Services)
• Adrina Carter, LMT
• Andrea Yoshiko Carter, PMHNP-BC

• 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 Jun 17, 2015; 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.