Carey Speece Penniston, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N4659 Issued in TX

Practice address

10534 Garland Rd
Dallas, TX 75218-2637

Phone

(214) 321-2673

Fax

(214) 321-4329

NPI assigned

May 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carey S. Penniston, DO, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1558624411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1992963334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 LAPRADA DRIVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "214-321-2673",
            "fax_number": "214-321-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10534 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182637",
            "telephone_number": "214-321-2673",
            "fax_number": "214-321-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISTON",
        "first_name": "CAREY",
        "middle_name": "SPEECE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hugh Pennant, MD
• Sarah Grace Pennant, PHD
• Demetrays Pennegraph
• Corin Pennella
• Andrea Nicole Pennington-Peace, CSA
• Penny and Sparrow, LLC
• Stephanie June Pennypacker, MS
• Avery Ryan Pennywell, MD
• Penrose Avenue LLC
• Sairahul Reddy Pentaparthi

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.