NPIMap

Organization Active NPI

Dental Cactus PLLC

  • Dentist
  • Little Elm, TX
National Provider Identifier
1902131030
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22973 Issued in TX
Legal business name
DENTAL CACTUS PLLC
Practice address
2405 FM 423
Suite 100
Little Elm, TX 75068-6665
Phone
(214) 705-7272
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Charlie F Carmichael III, DDS, MS
Title
Owner
Phone
(214) 705-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22973 TX Primary

Addresses

Primary practice location

2405 FM 423
Suite 100
Little Elm, TX 75068-6665

Mailing address

1016 Liberty St
Suite 6
Dallas, TX 75204-5521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1902131030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 LIBERTY ST",
            "address_2": "SUITE 6",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 FM 423",
            "address_2": "SUITE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686665",
            "telephone_number": "214-705-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CACTUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-705-7272",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.