Active NPI
Carolina Gerges, BDS, MS
- Endodontics
- College Station, TX
National Provider Identifier
1508628165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 42000
- Practice address
- 915 William D Fitch Pkwy Ste 300
College Station, TX 77845-4638 - Phone
- (979) 690-7201
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 42000 | TX | Primary |
| Endodontics | 1223E0200X | RES004561 | OH |
Addresses
Primary practice location
915 William D Fitch Pkwy Ste 300
College Station, TX 77845-4638
Mailing address
3908 Eskew Dr
College Station, TX 77845-2123
Phone (551) 273-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES004561 | OH | MD | Endodontist |
| 42000 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Station Modern Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- College Station, TX
- NPI 1124420781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1508628165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 ESKEW DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778452123",
"telephone_number": "551-273-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 WILLIAM D FITCH PKWY STE 300",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454638",
"telephone_number": "979-690-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERGES",
"first_name": "CAROLINA",
"credential": "BDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "42000",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "RES004561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.