Organization Active NPI

Jacob Christopher Caruso

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1922401033
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP126421 Issued in TX
Legal business name
JACOB CHRISTOPHER CARUSO
Practice address
1801 Inwood Rd
Dallas, TX 75235-7202
Phone
(214) 645-3300
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Jacob Christopher Caruso
Title
Crna
Phone
(256) 714-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X AP126421 TX Primary

Addresses

Primary practice location

1801 Inwood Rd
Dallas, TX 75235-7202

Mailing address

12106 Stoney Pond
San Antonio, TX 78247-4939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1922401033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 STONEY POND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357202",
            "telephone_number": "214-645-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB CHRISTOPHER CARUSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "256-714-8656"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP126421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.