Organization Active NPI

Cecilia Carpio PLLC

  • Pediatric Dentistry
  • Pearland, TX
National Provider Identifier
1992097083
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24880 Issued in TX
Legal business name
CECILIA CARPIO PLLC
Practice address
11041 Shadow Creek Pkwy
Suite Number 125
Pearland, TX 77584-7402
Phone
(832) 661-4656
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Dr. Cecilia Carpio, DDSNPI 1902037609
Title
President
Phone
(832) 661-4656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 24880 TX
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 24880 TX Primary

Addresses

Primary practice location

11041 Shadow Creek Pkwy
Suite Number 125
Pearland, TX 77584-7402

Mailing address

11041 Shadow Creek Pkwy
Suite # 125
Pearland, TX 77584-7402
Phone (832) 661-4656

Other names 1

  • Kids and Teens Dental Place Doing business as

National Provider Directory

National Provider Directory

Locations

11041 Shadow Creek Pkwy
Ste 125
Pearland, TX 77584
Phone (713) 413-8282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1992097083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY",
            "address_2": "SUITE # 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-661-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 SHADOW CREEK PKWY",
            "address_2": "SUITE NUMBER 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847402",
            "telephone_number": "832-661-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA CARPIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "CARPIO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-661-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24880",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids and Teens Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.