NPIMap

Organization Active NPI

Carus Dental PC

Doing business as Carus Surgical Center Killeen

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1659023711
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARUS DENTAL PC
Doing business as
Carus Surgical Center Killeen
Practice address
4400-1 E Central Texas Expy Ste B
Killeen, TX 76543-7309
Phone
(254) 526-9696
Fax
(254) 526-3255
NPI assigned
Jan 20, 2022
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CARUS DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4400-1 E Central Texas Expy Ste B
Killeen, TX 76543-7309

Mailing address

4400-1 E Central Texas Expy Ste B
Killeen, TX 76543-7309
Phone (254) 526-9696

Other names 1

  • Carus Surgical Center Killeen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carus Dental PC41 organizations share this tax ID, including this one
Part of
Carus Dental PC

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

4400-1 E Central Texas Expy
Ste B
Killeen, TX 76543
Phone (254) 699-7855

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1659023711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400-1 E CENTRAL TEXAS EXPY STE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437309",
            "telephone_number": "254-526-9696",
            "fax_number": "254-526-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400-1 E CENTRAL TEXAS EXPY STE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437309",
            "telephone_number": "254-526-9696",
            "fax_number": "254-526-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARUS DENTAL PC",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carus Surgical Center Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.