Carrick Dentistry, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARRICK DENTISTRY, P.A.

Practice address

1805 W White Oak Ter
Ste. D
Conroe, TX 77304-3456

Phone

(936) 828-0676

Fax

(936) 494-0683

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Carrick

Title

Executrix of Joe Carrick Estate

Phone

(281) 795-0199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1992243901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER",
            "address_2": "STE. D",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043456",
            "telephone_number": "936-828-0676",
            "fax_number": "936-494-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER",
            "address_2": "STE. D",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043456",
            "telephone_number": "936-828-0676",
            "fax_number": "936-494-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICK DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CARRICK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTRIX OF JOE CARRICK ESTATE",
        "authorized_official_telephone_number": "281-795-0199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Carni, LPC
• Carolyn L Jovanovic PLLC
• Abigail Carpenter, LPC-A
• Lisa Elaine Carr, MS
• Jesus Gregorio Carrera Boada, SA-C
• Laura Carrillo
• Donnell Kajaun Carson, PA-C
• Lillian Carson
• Robin Carter
• Sherletta Latecia Carter, MSW, LCSW

• Dental Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.