Individual provider Active NPI

Carlton Wayne Perkins, CST/SA-C/LSA

  • Surgical Assistant
  • New Braunfels, TX
National Provider Identifier
1801916895
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00557 Issued in TX
Practice address
2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379
Phone
(210) 598-2800
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00557 TX Primary

Addresses

Primary practice location

2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379

Mailing address

2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379
Phone (210) 598-2800

Other identifiers 1

IdentifierTypeStateIssuer
SA00557OtherTXTEXAS MEDICAL BOARD LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA00557TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1801916895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 OAK RUN PKWY STE 505",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325379",
            "telephone_number": "210-598-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 OAK RUN PKWY STE 505",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325379",
            "telephone_number": "210-598-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CARLTON",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CST/SA-C/LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE",
            "identifier": "SA00557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.