Carolyn Dale Denton, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L5302 Issued in TX

Practice address

508 N Riedel St
Yorktown, TX 78164-1810

Phone

(361) 564-9230

Fax

(361) 564-9246

NPI assigned

Oct 3, 2006

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

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyndenton@dmdclinic.allscriptsdirect.net
• Direct secure messaging: cdenton421786@direct.sw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dewitt Medical District

  • Emergency Medicine Physician
  • Cuero, TX
  • NPI 1366532608
  Medicare reassignment NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Georgetown, TX
  • NPI 1922289412
  Medicare reassignment NPD
• Dewitt Medical District

  • Rural Health Clinic/Center
  • Yorktown, TX
  • NPI 1821422551

  Family Medicine

  NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1154472967
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447344635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-9230",
            "fax_number": "361-564-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-9230",
            "fax_number": "361-564-9246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Esplanade St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779544727",
            "country_code": "US",
            "telephone_number": "361-275-3466",
            "fax_number": "361-275-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "CAROLYN",
        "middle_name": "DALE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1F5097",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155386908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Barth, D.O.
• Dewitt Dental Professionals
• Dewitt Medical District
• Dewitt Medical District
• Diversicare Leasing Corp.
• Peter Dunn

• Family Medicine Physician in Yorktown, TX
• Providers in Yorktown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.