Individual provider Active NPI

Christy Caffey-Earle, D.D.S.

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1780602839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19780 Issued in TX
Practice address
3301 Long Prairie Rd
Ste.110
Flower Mound, TX 75022-2702
Phone
(972) 874-1200
Fax
(972) 874-9332
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19780 TX Primary

Addresses

Primary practice location

3301 Long Prairie Rd
Ste.110
Flower Mound, TX 75022-2702

Mailing address

3301 Long Prairie Road
Ste.110
Flower Mound, TX 75022
Phone (972) 874-1200

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
I20210701001113 TX Practitioner - Dentist 6002118833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19780TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780602839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE ROAD",
            "address_2": "STE.110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "972-874-1200",
            "fax_number": "972-874-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE RD",
            "address_2": "STE.110",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222702",
            "telephone_number": "972-874-1200",
            "fax_number": "972-874-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFEY-EARLE",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.