Individual provider Active NPI

Carson Jett, DDS

  • Dentist
  • Round Rock, TX
National Provider Identifier
1801465398
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61866 Issued in KS
Practice address
16000 Park Valley Dr Ste 100
Round Rock, TX 78681-4009
Phone
(512) 244-7995
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61866 KS Primary

Addresses

Primary practice location

16000 Park Valley Dr Ste 100
Round Rock, TX 78681-4009

Mailing address

16000 Park Valley Dr
Austin, TX 78681-4008
Phone (512) 244-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61866KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC CurrentSince Oct 9, 2022 Accepting new patients

Locations

16000 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 244-7995

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1801465398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PARK VALLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "786814008",
            "telephone_number": "512-244-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PARK VALLEY DR STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814009",
            "telephone_number": "512-244-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "CARSON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.