Active NPI
Jamilex Carreno, DDS
- General Practice Dentistry
- Kennedale, TX
National Provider Identifier
1871228643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38785
- Practice address
- 201 W Kennedale Pkwy Ste 512
Kennedale, TX 76060-2434 - Phone
- (817) 330-3800
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38785 | TX | Primary |
Addresses
Primary practice location
201 W Kennedale Pkwy Ste 512
Kennedale, TX 76060-2434
Mailing address
2705 E Ledbetter Dr
Dallas, TX 75216
Phone (469) 583-2985
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38785 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1871228643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 E LEDBETTER DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "469-583-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W KENNEDALE PKWY STE 512",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760602434",
"telephone_number": "817-330-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRENO",
"first_name": "JAMILEX",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennedale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.