Active NPI
Carl E Couch, M.D.
- Family Medicine Physician
- Garland, TX
National Provider Identifier
1891717286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D6578
- Practice address
- 601 Clara Barton Blvd
Suite 140
Garland, TX 75042-5738 - Phone
- (972) 272-6561
- Fax
- (972) 276-3067
- NPI assigned
- Jul 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D6578 | TX | Primary |
Addresses
Primary practice location
601 Clara Barton Blvd
Suite 140
Garland, TX 75042-5738
Mailing address
601 Clara Barton Blvd
Suite 140
Garland, TX 75042-5738
Phone (972) 272-6561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080081733 | Other | TX | RR MEDICARE |
| 116427901 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6578 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1891717286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CLARA BARTON BLVD",
"address_2": "SUITE 140",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425738",
"telephone_number": "972-272-6561",
"fax_number": "972-276-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CLARA BARTON BLVD",
"address_2": "SUITE 140",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425738",
"telephone_number": "972-272-6561",
"fax_number": "972-276-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "CARL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D6578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080081733",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116427901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.