Organization Active NPI

Elizabeth Carrillo D.M.D. P.a

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1356526248
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20746 Issued in TX
Legal business name
ELIZABETH CARRILLO D.M.D. P.A
Practice address
5803 Airline Dr
Houston, TX 77076-4922
Phone
(713) 692-7600
Fax
(713) 692-7649
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Carrillo, D.M.D
Title
General Dentist
Phone
(713) 692-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20746 TX Primary

Addresses

Primary practice location

5803 Airline Dr
Houston, TX 77076-4922

Mailing address

5803 Airline Dr
Houston, TX 77076-4922
Phone (713) 692-7600

National Provider Directory

National Provider Directory

Locations

5803 Airline Dr
Houston, TX 77076
Phone (713) 692-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1356526248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764922",
            "telephone_number": "713-692-7600",
            "fax_number": "713-692-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764922",
            "telephone_number": "713-692-7600",
            "fax_number": "713-692-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CARRILLO D.M.D. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "713-692-7600",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.