Individual provider Active NPI

Carl Johan Rorstrom

  • Student in an Organized Health Care Education/Training Program
  • Lawrence, KS
National Provider Identifier
1043126642
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
3-115097 Issued in KS
Practice address
2010 Becker Dr
Lawrence, KS 66047-1620
Phone
(785) 656-9710
NPI assigned
Aug 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3-115097 KS Primary

Addresses

Primary practice location

2010 Becker Dr
Lawrence, KS 66047-1620

Mailing address

301 W 39TH St
Hays, KS 67601-1518

Other practice location 1

1700 SW 7th St
Topeka, KS 66606-2489
Phone (785) 295-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1043126642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 39TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BECKER DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471620",
            "telephone_number": "785-656-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SW 7th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062489",
            "country_code": "US",
            "telephone_number": "785-295-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RORSTROM",
        "first_name": "CARL",
        "middle_name": "JOHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "3-115097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.