Active NPI
Carla Jean Sagredo Morales, DDS
- Dentist
- McAllen, TX
National Provider Identifier
1912244435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28029
- Practice address
- 1200 E Ridge Rd Ste 9
McAllen, TX 78503-1528 - Phone
- (956) 631-7177
- NPI assigned
- Jan 4, 2013
- Last updated
- May 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28029 | TX | Primary |
Addresses
Primary practice location
1200 E Ridge Rd Ste 9
McAllen, TX 78503-1528
Mailing address
1200 E Ridge Rd Ste 9
McAllen, TX 78503-1528
Phone (956) 631-7177
Other practice location 1
1002 W Sam Houston Blvd
Ste. 6
Pharr, TX 78577-5224
Phone (956) 782-6767
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28029 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpoint Dental PA | Dentist | Current | Accepting new patients |
| Gil Villarreal Jr. DDS.,P.C. | Past | Accepting new patients | |
| Professional Dental Group P.a. | Dentist | Past | Accepting new patients |
Locations
1200 E Ridge Rd
Ste 9
McAllen, TX 78503
Phone (956) 631-7177
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- McAllen, TX
- NPI 1477137552
-
- General Practice Dentistry
- McAllen, TX
- NPI 1265622492
-
- Dentist
- Pharr, TX
- NPI 1508259706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1912244435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E RIDGE RD STE 9",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031528",
"telephone_number": "956-631-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E RIDGE RD STE 9",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031528",
"telephone_number": "956-631-7177"
}
],
"practiceLocations": [
{
"address_1": "1002 W Sam Houston Blvd",
"address_2": "Ste. 6",
"address_purpose": "LOCATION",
"city": "Pharr",
"state": "TX",
"postal_code": "785775224",
"country_code": "US",
"telephone_number": "956-782-6767",
"fax_number": "956-782-6768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "CARLA JEAN",
"middle_name": "SAGREDO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.