NPIMap

Organization Active NPI

Carmichael Surgical PA

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1477783108
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22973 Issued in TX
Legal business name
CARMICHAEL SURGICAL PA
Practice address
1016 Liberty St
Suite 6
Dallas, TX 75204-5521
Phone
(404) 276-8085
NPI assigned
Jul 15, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Charlie F Carmichael, DDS, MSNPI 1891889937
Title
Owner/President
Phone
(404) 276-8085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22973 TX Primary

Addresses

Primary practice location

1016 Liberty St
Suite 6
Dallas, TX 75204-5521

Mailing address

1016 Liberty St
Suite 6
Dallas, TX 75204-5521

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1477783108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 LIBERTY ST",
            "address_2": "SUITE 6",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 LIBERTY ST",
            "address_2": "SUITE 6",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045521",
            "telephone_number": "404-276-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMICHAEL SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "404-276-8085",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.