NPIMap

Carus Dental PC

Organization Active NPI General Practice Dentistry · Austin, TX

NPI 1710067459 · NPPES record last updated Jan 20, 2022

Key facts

NPI
1710067459
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CARUS DENTAL PC
Practice address
1221 W Ben White Blvd Ste 203
Austin, TX 78704-6888
Phone
(281) 446-2153
NPI assigned
Oct 17, 2006
Organization subpart
Yes
Parent organization (as reported)
CARUS DENTAL PC

Authorized official

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

Corporate family (same tax ID) 40

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

View all 40

Practitioners 4

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

National Provider Directory

Tax ID family
Longorn Dental (41 organizations share this tax ID)
Part of
Longorn Dental

Locations

1221 W Ben White Blvd
Ste 203
Austin, TX 78704
Phone (281) 446-2153

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

1221 W Ben White Blvd Ste 203
Austin, TX 78704-6888

Mailing address

1221 W Ben White Blvd Ste 203
Austin, TX 78704-6888
Phone (281) 446-2153

Other names

  • Carus Dental South Central Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 20, 2022.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1710067459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "281-446-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "281-446-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARUS DENTAL PC",
        "enumeration_date": "2006-10-17",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carus Dental South Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

All providers in Austin, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.