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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DALLAS CARRANZA PA
NPI 1699401919
Physician Assistant - Medical in Fort Leonard Wood, MO

Active since July 28, 2022
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(573) 596-4178 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, Jun 13, 2025, Aug 22, 2023 and 2 more (5 updates tracked since 2022).

About Dallas Carranza Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS CARRANZA PA (NPI 1699401919) is an individual medical provider in Fort Leonard Wood, Missouri and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699401919
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDALLAS CARRANZACredential: PA
Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473-9098
Mailing Address4234 Illinois AveFort Leonard Wood, MO 65583-9098 · (573) 596-4178
Phone(573) 596-4178
Sole ProprietorNo
Enumeration DateJuly 28, 2022
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1699401919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRIN ALEXANDER MSW
Social Worker
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
BENJAMIN DAVID CRUMLEY DO
Obstetrics & Gynecology
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1490
DR. BENJAMIN MEMMOTT DO
Radiology (Diagnostic Radiology)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0029
SHRIYA RUPAREL
Optometrist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0048
MELISSA KAY CLIFT OTR
Occupational Therapist (Hand)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9453
CALLIE JUHAS
Occupational Therapist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
STEPHEN LINDSEY DUNAWAY LCSW
Social Worker (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
SHAYLA AMOS MD
Family Medicine
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Carranza's NPI number?

The NPI number for Dallas Carranza is 1699401919. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Dallas Carranza located?

Dallas Carranza practices at 4234 Illinois Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-4178.

What is Dallas Carranza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Dallas Carranza was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.