Sean K Carlson DMD Ms Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SEAN K CARLSON DMD MS INC

Practice address

265 Magnolia Ave
Ste 100
Larkspur, CA 94939

Phone

(415) 746-1300

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sean K Carlson, DMD, MSNPI 1083971352

Title

President

Phone

(415) 746-1300

Specialties & licenses 1

Addresses

Other names 1

• Simple Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Kenneth Carlson, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Larkspur, CA
  • NPI 1083971352

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1003598376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MAGNOLIA AVE",
            "address_2": "STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-746-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAGNOLIA AVE",
            "address_2": "STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-746-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN K CARLSON DMD MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-08-29",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-746-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simple Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ann Schlesinger, LCSW
• Victoria Theresa Schmitt, NP
• Louis William Schmohl, DDS
• Sheeja T Schuster, MD/MPH
• Zachary Schwab, MD
• Nicole Taylor See, PA
• Michele Senbertrand, NP
• Akash Shah, MD
• Sara Shaw, RN, IBCLC
• Ines Sherifi, M.D.

• All providers in Larkspur, CA
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.