Adolph C Carlson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00204039 Issued in CO

Practice address

685 Citadel Dr E Ste 302
Colorado Springs, CO 80909-5316

Phone

(719) 493-9353

NPI assigned

Jun 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• IA HMO C-SNP
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1013577832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-493-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095316",
            "telephone_number": "719-493-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ADOLPH",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Carlile, RD
• Dion Carlock
• Carlsen Foot & Ankle Center, P.C.
• Tim Carlsen, D.P.M.
• Marilyn Kay Carlson Johnson, BA
• Anna Carlson, RDN
• April Michelle Carlson, MSW, LCSW
• Cassandra Carlson
• David Michael Carlson, D.C., P.C.
• Dawn E Carlson, MD

• All providers in Colorado Springs, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.