Eric R. Carlson, MD, DMD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38394 Issued in TN

Legal business name

ERIC R. CARLSON, MD, DMD

Practice address

1930 Alcoa Hwy
Ste 335
Knoxville, TN 37920-1500

Phone

(865) 305-9021

Fax

(865) 305-9026

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Eric R Carlson, MD, DMDNPI 1174616171

Title

Owner

Phone

(865) 305-9021

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Eric R. Carlson, MD, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Toledo, OH
  • NPI 1174616171
  NPD (past) Authorized official

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1013186279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440131",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440131",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-9021",
            "fax_number": "865-305-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. CARLSON, MD, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-305-9021",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "38394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3227455",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Ercolano
• Alim Erdem, MD
• Amanda Ergen, NP-C
• Frederick J Ergen, M.D.
• William Frederick Ergen, M.D.
• Elaine S Erickson, PH.D.
• Heather Marie Ericson
• Bryan James Eriksen, MD
• Liliane Rebecca Ernst, MD
• Tonya Ernst

• Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.