NPIMap

Organization Active NPI

Carus Dental PC

Doing business as Oak Valley Dental Care

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1407132822
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARUS DENTAL PC
Doing business as
Oak Valley Dental Care
Practice address
3901 E Stan Schlueter Loop Ste 109
Killeen, TX 76542-4554
Phone
(254) 526-9696
Fax
(254) 526-3255
NPI assigned
Oct 31, 2011
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CARUS DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Pediatric Dentistry 1223P0221X 13687 TX

Addresses

Primary practice location

3901 E Stan Schlueter Loop Ste 109
Killeen, TX 76542-4554

Mailing address

3901 E Stan Schlueter Loop Ste 109
Killeen, TX 76542-4554
Phone (254) 526-9696

Other names 1

  • Oak Valley Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longorn Dental41 organizations share this tax ID, including this one
Part of
Longorn Dental

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

3901 E Stan Schlueter Loop
Ste 109
Killeen, TX 76542
Phone (254) 526-0266

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1407132822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-526-9696",
            "fax_number": "254-526-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-526-9696",
            "fax_number": "254-526-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARUS DENTAL PC",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "13687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.