Organization Active NPI

Alan W Carruth, MD PA

  • Specialist
  • Flower Mound, TX
National Provider Identifier
1558587279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALAN W CARRUTH, MD PA
Practice address
4605 Oak Springs Dr
Flower Mound, TX 75028-7329
Phone
(972) 668-7460
Fax
(972) 668-7467
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan W Carruth, MD
Title
President
Phone
(972) 668-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4605 Oak Springs Dr
Flower Mound, TX 75028-7329

Mailing address

4605 Oak Springs Dr
Flower Mound, TX 75028-7329
Phone (972) 668-7460

National Provider Directory

National Provider Directory

Locations

5000 Long Prairie Rd
Ste 202
Flower Mound, TX 75028

396 W Main St
Ste 100
Lewisville, TX 75057

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558587279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 OAK SPRINGS DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287329",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 OAK SPRINGS DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287329",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN W CARRUTH, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRUTH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-668-7460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.