NPIMap

Organization Active NPI

Carthage Dental Center

  • General Practice Dentistry
  • Carthage, TX
National Provider Identifier
1982989117
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11803 Issued in TX
Legal business name
CARTHAGE DENTAL CENTER
Practice address
401 N Adams St
Carthage, TX 75633-1311
Phone
(903) 693-8500
Fax
(903) 693-8501
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Kim Fowler, RDH
Title
Owner
Phone
(903) 693-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11803 TX Primary

Addresses

Primary practice location

401 N Adams St
Carthage, TX 75633-1311

Mailing address

401 N Adams St
Carthage, TX 75633-1311
Phone (903) 693-8500

National Provider Directory

National Provider Directory
Tax ID family
Carthage Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 N Adams St
Carthage, TX 75633
Phone (903) 690-0444

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1982989117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ADAMS ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331311",
            "telephone_number": "903-693-8500",
            "fax_number": "903-693-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ADAMS ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331311",
            "telephone_number": "903-693-8500",
            "fax_number": "903-693-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-693-8500",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.