Organization Active NPI

Carmen Casas, MD, PA

  • Dermatology Physician
  • Corpus Christi, TX
National Provider Identifier
1992998959
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F3424 Issued in TX
Legal business name
CARMEN CASAS, MD, PA
Practice address
5756 S Staples St
Ste J1
Corpus Christi, TX 78413-3782
Phone
(361) 994-1001
Fax
(361) 994-1004
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Carmen C Casas, MD
Title
President
Phone
(361) 994-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X F3424 TX Primary

Addresses

Primary practice location

5756 S Staples St
Ste J1
Corpus Christi, TX 78413-3782

Mailing address

5756 S Staples St
Ste J1
Corpus Christi, TX 78413-3782
Phone (361) 994-1001

Other identifiers 2

IdentifierTypeStateIssuer
00F43EOtherTXMEDICARE ID-TYPE UNSPECIF
83J076OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1992998959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "STE J1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-994-1001",
            "fax_number": "361-994-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 S STAPLES ST",
            "address_2": "STE J1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133782",
            "telephone_number": "361-994-1001",
            "fax_number": "361-994-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN CASAS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-994-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F3424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIF",
            "identifier": "00F43E",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83J076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.