Individual provider Active NPI

Cecilia Elizabeth Carpio, DDS

  • Pediatric Dentistry
  • Pearland, TX
National Provider Identifier
1902037609
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24880 Issued in TX
Practice address
11041 Shadow Creek Pkwy
Suite # 125
Pearland, TX 77584-7402
Phone
(832) 661-4656
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 24880 TX Primary

Addresses

Primary practice location

11041 Shadow Creek Pkwy
Suite # 125
Pearland, TX 77584-7402

Mailing address

11041 Shadow Creek Pkwy
Suite # 125
Pearland, TX 77584-7402
Phone (832) 661-4656

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

LicenseStateTypeSpecialty
24880TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gac Dental PLLC Pediatric Dentistry Current Accepting new patients
Cecilia Carpio PLLC Pediatric Dentistry Past Accepting new patients

Locations

9540 Main St
Ste 100
Houston, TX 77025
Phone (713) 413-8585

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1902037609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY",
            "address_2": "SUITE # 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-661-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY",
            "address_2": "SUITE # 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-661-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "CECILIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.