Individual provider Active NPI

Francisco Jose Carrillo Morales, DDS, MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1730691049
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
37150 Issued in TX
Practice address
6624 Fannin St Ste 1710
Houston, TX 77030-2329
Phone
(713) 489-6984
NPI assigned
Oct 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 37150 TX Primary

Addresses

Primary practice location

6624 Fannin St Ste 1710
Houston, TX 77030-2329

Mailing address

6624 Fannin St Ste 1710
Houston, TX 77030-2329
Phone (713) 489-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000991 TX Practitioner - Dentist 4981173820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37150TXMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: fcarrillomorales394927@directhoustonmethodist.org
  • Direct secure messaging: fcarrillomorales409240@prddirect.texaschildrens.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1730691049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302329",
            "telephone_number": "713-489-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302329",
            "telephone_number": "713-489-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO MORALES",
        "first_name": "FRANCISCO",
        "middle_name": "JOSE",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "37150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.