Individual provider Active NPI

Caryn Van Deventer, D.O

  • Obstetrics & Gynecology Physician
  • Frisco, TX
National Provider Identifier
1467840546
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S5098 Issued in TX
Practice address
5757 Warren Pkwy Ste 200
Frisco, TX 75034-4777
Phone
(972) 777-3232
Fax
(972) 777-3131
NPI assigned
Dec 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AZ
Obstetrics & Gynecology Physician 207V00000X S5098 TX Primary
Obstetrics & Gynecology Physician 207V00000X BP10056832 TX

Addresses

Primary practice location

5757 Warren Pkwy Ste 200
Frisco, TX 75034-4777

Mailing address

5757 Warren Pkwy Ste 200
Frisco, TX 75034-4777
Phone (972) 777-3232

Other practice location 1

5575 Frisco Square Blvd Ste 410
Frisco, TX 75034-3309
Phone (972) 377-6553

Other practice location 2

1441 N Beckley Ave
Graduate Medical Education, 5th floor
Dallas, TX 75203-1201
Phone (214) 947-2331

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000569 TX Practitioner - Obstetrics/Gynecology 0345535944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vbek Texas OBGYN Specialists PLLCGroup PAC ID 4981053931, 4 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

5757 Warren Pkwy
Suite 200
Frisco, TX 75034-4777
Phone (972) 777-3232

7600 Better Way
Frisco, TX 75033-3797
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10056832TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vbek Texas OBGYN Specialists PLLC Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1441 N Beckley Ave
Fl 5
Dallas, TX 75203
Phone (214) 943-9300

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

5757 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (214) 618-7100

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • Direct secure messaging: 5865-vandeventer-caryn@direct.leadingreach.com
  • Direct secure messaging: caryn.van.deventer.1@29540.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1467840546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344777",
            "telephone_number": "972-777-3232",
            "fax_number": "972-777-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344777",
            "telephone_number": "972-777-3232",
            "fax_number": "972-777-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Frisco Square Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343309",
            "country_code": "US",
            "telephone_number": "972-377-6553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 N Beckley Ave",
            "address_2": "Graduate Medical Education, 5th floor",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031201",
            "country_code": "US",
            "telephone_number": "214-947-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DEVENTER",
        "first_name": "CARYN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-25",
        "last_updated": "2023-09-07",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S5098",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10056832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.