CARUS DENTAL (NPI# 1033698857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033698857 |
| Entity Type | Organization |
| Organization Name | CARUS DENTAL |
| Practice Address |
1615 Forest Trl Temple TX 76502-2715 |
| Mailing Address |
12174 N Mopac Expy Ste C Austin TX 78758-2910 |
| Practice Telephone | 2547786440 |
| Mailing Telephone | 5123711222 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | YSABEL ALVARADO (PATIENT ACCOUNT SPECIALIST) |
| Authorized Official Telephone | 5123711222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22731 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902306384 | Carus Dental | Dentist | 102 Wonder World Dr Ste 101, San Marcos, TX 78666-6080 | 2018-02-13 |
| 1366803769 | Carus Dental | Dentist | 718 Highway 79, Suite 300, Hutto, TX 78634 | 2016-03-11 |
| 1851766935 | Carus Dental | Dentist | 23641 Katy Fwy, Suite 200, Katy, TX 77494-7221 | 2015-12-01 |
| 1013382191 | Carus Dental | Dentist | 21450 Kuykendahl, Suite 100, Spring, TX 77379 | 2015-12-01 |
| 1407132822 | Carus Dental | Dentist | 3901 E Stan Schlueter Loop Ste 109, Killeen, TX 76542-4554 | 2011-10-31 |
| 1467532192 | Carus Dental | Dentist | 13331 Jones Rd, Houston, TX 77070-3915 | 2006-10-17 |
| 1114477353 | Carus Dental | Dentist | 16000 Park Valley Dr, Suite 160, Round Rock, TX 78681-4008 | 2016-10-12 |
| 1922479567 | Carus Dental | Dentist | 3901 E Stan Schlueter Loop, Suite 109, Killeen, TX 76542-4516 | 2015-10-08 |
| 1992174346 | Carus Dental | Dentist | 3801 Bee Caves Rd, Suite C, West Lake Hills, TX 78746-6657 | 2015-09-16 |
| 1871996025 | Carus Dental | Dentist | 511 Lake Rd, Suite 107, Belton, TX 76513-1403 | 2014-10-02 |
| Street Address |
1615 FOREST TRL |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487661252 | David John Mikulencak | Dentist | 1615 Forest Trl, Temple, TX 76502-2715 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487661252 | David John Mikulencak | Dentist | 1615 Forest Trl, Temple, TX 76502-2715 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.