Active NPI
Carl Anthony Labella III, D D S
- Oral and Maxillofacial Surgery (Dentist)
- Fort Sam Houston, TX
National Provider Identifier
1881683530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 32360
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-0591
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 32360 | TX | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7900 | TN |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-5125
Other practice location 1
10630 Culebra Rd
San Antonio, TX 78251-1320
Phone (210) 422-2058
Other practice location 2
8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 450-3100
Other practice location 3
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236
Phone (210) 292-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130131000196 | DC | Order and Referring Only - Oral Surgery | 3476707308 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32360 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7900 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1881683530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-0591"
}
],
"practiceLocations": [
{
"address_1": "10630 Culebra Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782511320",
"country_code": "US",
"telephone_number": "210-422-2058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8210 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293923",
"country_code": "US",
"telephone_number": "210-450-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-5125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABELLA",
"first_name": "CARL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D D S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "32360",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "7900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.