Individual provider Active NPI

Toni Carr

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1962560367
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19926 Issued in TX
Practice address
1757 Broad Park Cir N Ste 101
Mansfield, TX 76063-7840
Phone
(682) 207-4800
Fax
(682) 207-4800
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19926 TX Primary

Addresses

Primary practice location

1757 Broad Park Cir N Ste 101
Mansfield, TX 76063-7840

Mailing address

1757 Broad Park Cir N Ste 101
Mansfield, TX 76063-7840
Phone (682) 207-4800

Other practice location 1

101 W Debbie Ln
Suite 106
Mansfield, TX 76063-8937
Phone (682) 518-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001507 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315259025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19926TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1962560367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIR N STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637840",
            "telephone_number": "682-207-4800",
            "fax_number": "682-207-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BROAD PARK CIR N STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637840",
            "telephone_number": "682-207-4800",
            "fax_number": "682-207-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Debbie Ln",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638937",
            "country_code": "US",
            "telephone_number": "682-518-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "TONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.