Individual provider Active NPI

Alyssa K Emory-Carter, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sherman, TX
National Provider Identifier
1386186856
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30481 Issued in TX
Practice address
2921 N Heritage Parkway
Suite #200
Sherman, TX 75092-7509
Phone
(903) 821-9855
NPI assigned
Nov 15, 2016
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30481 TX Primary

Addresses

Primary practice location

2921 N Heritage Parkway
Suite #200
Sherman, TX 75092-7509

Mailing address

2921 N Heritage Parkway
Suite 200
Sherman, TX 75092-4294
Phone (903) 821-9855

Other names 1

  • Dr. Alyssa K Emory Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821001165 TX Order and Referring Only - DentistPractitioner - Dentist 7315219748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30481TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1386186856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 N HERITAGE PARKWAY",
            "address_2": "SUITE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924294",
            "telephone_number": "903-821-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 N HERITAGE PARKWAY",
            "address_2": "SUITE #200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927509",
            "telephone_number": "903-821-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORY-CARTER",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "EMORY",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.