NPIMap

Organization Active NPI

Carus Dental PC

Doing business as Carus Dental Atascocita

  • General Practice Dentistry
  • Humble, TX
National Provider Identifier
1740663764
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15769 Issued in TX
Legal business name
CARUS DENTAL PC
Doing business as
Carus Dental Atascocita
Practice address
19121 W Lake Houston Pkwy Ste E
Humble, TX 77346-4826
Phone
(281) 446-2153
NPI assigned
Jul 8, 2015
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 15769 TX Primary

Addresses

Primary practice location

19121 W Lake Houston Pkwy Ste E
Humble, TX 77346-4826

Mailing address

19121 W Lake Houston Pkwy Ste E
Humble, TX 77346-4826
Phone (281) 446-2153

Other names 1

  • Carus Dental Atascocita 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

19121 W Lake Houston Pkwy
Ste E
Humble, TX 77346
Phone (281) 446-2153

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1740663764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19121 W LAKE HOUSTON PKWY STE E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464826",
            "telephone_number": "281-446-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 W LAKE HOUSTON PKWY STE E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464826",
            "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": "2015-07-08",
        "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": "TX",
            "license": "15769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carus Dental Atascocita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, 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.