Carousel Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

15729 Issued in TX

Legal business name

CAROUSEL DENTAL PA

Practice address

1844 Nacogdoches Road
San Antonio, TX 78209-2216

Phone

(210) 824-0152

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Michael KralNPI 1124068812

Title

President

Phone

(210) 824-0152

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce M Kral, D.D.S

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1124068812
  NPD (past) Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1871863043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 NACOGDOCHES ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 NACOGDOCHES ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092216",
            "telephone_number": "210-824-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROUSEL DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "KRAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-824-0152",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "15729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marli Carollo, LAT, ATC
• Michael Jason Carolus, D.C.
• Jean-Louis Caron, MD
• Christopher James Caronna Sr., R.PH.
• Savannah Caroon
• Monna Carpenter-Barin, BS,LIC SLP AND RDH
• Amanda Carpenter, L.M.S.W.
• Amanda Christine Carpenter, DO
• Andrea Carpenter, MD
• Garrett Carpenter

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.