DR. CARLOS A CARRILLO (NPI# 1609473768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609473768 |
| Entity Type | Individual |
| Full Name | DR. CARLOS A CARRILLO |
| Credential | DDS, MSD |
| Practice Address |
1011 Medical Plaza Dr Spring TX 77380-3249 |
| Mailing Address |
14031 Mohave Way Dr Cypress TX 77429-4664 |
| Practice Telephone | 2818931060 |
| Practice Fax Number | 2818936807 |
| Mailing Telephone | 8324651557 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
36735 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449139 | Carlos Carrillo | Durable Medical Equipment & Medical Supplies | 111 Corte Mesa Ave, San Rafael, CA 94901-1303 | 2015-06-10 |
| 1326432139 | Carlos Carrillo | Technician, Other | 20325 Old Cutler Rd, Cutler Bay, FL 33189-1831 | 2015-03-19 |
| 1043568017 | Carlos Carrillo | Case Manager/Care Coordinator | 4202 W Idell St, Tampa, FL 33614-2501 | 2012-08-26 |
| 1144847146 | Carlos W Carrillo | Health Educator | 25722 Kingsland Blvd Ste 205, Katy, TX 77494-2643 | 2020-06-25 |
| 1225591662 | Carlos Alfonso Carrillo | Nurse Practitioner | 1700 Murchison Dr, El Paso, TX 79902-2931 | 2019-04-11 |
| 1104853951 | Carlos A. Carrillo | Surgery | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2006-06-27 |
| Street Address |
1011 MEDICAL PLAZA DR |
| City | SPRING |
| State | TX |
| Zip Code | 77380-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316103294 | Alisa Manuel Reed | Dentist | 1011 Medical Plaza Dr, Suite 120, Spring, TX 77380-3249 | 2008-07-31 |
| 1770692915 | Patricia Litchfield | Physical Therapist | 1011 Medical Plaza Dr, #150, Spring, TX 77380-3249 | 2006-08-30 |
| 1306956263 | Gina K Garner | Dentist | 1011 Medical Plaza Dr, Suite 120, Spring, TX 77380-3249 | 2006-08-30 |
| 1437268232 | Denise Wright | Physical Therapy Assistant | 1011 Medical Plaza Dr, #150, Spring, TX 77380-3249 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1376928267 | Spring Klein Dental Specialists | Dentist | 6078 Fm 2920 Rd, Spring, TX 77379-2542 | 2015-07-21 |
| 1346589561 | Spring Endodontics | Dentist | 525 Sawdust Rd # 107, Spring, TX 77380-2385 | 2013-02-07 |
| 1902150329 | Network Provider Associates, P.C. | Dentist | 2319 Rayford Rd., Suite 100, Spring, TX 77386-1708 | 2012-11-07 |
| 1255528378 | Joshua C Gorman | Dentist | 9318 Louetta Rd Ste 500, Spring, TX 77379-6547 | 2007-10-02 |
| 1992925879 | Michael Kaiser | Dentist | 20631 Kuykendahl Rd Ste 140, Spring, TX 77379-3318 | 2007-04-26 |
| 1407932247 | Network Provider Associates, P.C. | Dentist | 3100 Fm 2920, Spring, TX 77388-3431 | 2006-10-27 |
| 1720076722 | Tod Thomas Bruchmiller | Dentist | 9318 Louetta Rd, #500, Spring, TX 77379-6531 | 2005-10-12 |
| 1700369105 | Spring Klein Endodontics Pllc | Dentist | 6078 Fm 2920 Rd, Spring, TX 77379-2542 | 2018-09-11 |
| 1063869550 | Michael Kaiser, Dds Pllc | Dentist | 20631 Kuykendahl Rd, Ste 140, Spring, TX 77379-3318 | 2016-05-16 |
| Find all providers in SPRING | ||||
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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.