Active NPI
Carole Nicole Killam, RDH
- Dental Hygienist
- Forney, TX
National Provider Identifier
1609004035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 13075
- Practice address
- 501 FM 548 Ste 100
Forney, TX 75126-6295 - Phone
- (972) 552-5128
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 13075 | TX | Primary |
Addresses
Primary practice location
501 FM 548 Ste 100
Forney, TX 75126-6295
Mailing address
501 N. FM 548 Suite 100
Forney, TX 75126
Phone (972) 552-5128
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13075 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Network Provider Associates, P.C. | 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
- Forney, TX
- NPI 1992916886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1609004035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N. FM 548 SUITE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "972-552-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FM 548 STE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "751266295",
"telephone_number": "972-552-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLAM",
"first_name": "CAROLE",
"middle_name": "NICOLE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "13075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.