Christopher Kenneth Carlson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

76990951702 Issued in UT

Practice address

30 S 2000 E
Salt Lake City, UT 84112-5820

Phone

(702) 810-2210

NPI assigned

Nov 22, 2010

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

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1053613174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SOUTH 2000 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 2000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125820",
            "telephone_number": "702-810-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "76990951702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzie Carlsen
• Gabriel John Carlson-Andrews
• Adrian Carlson, PHARMD
• Andrew John Carlson, DDS
• Caroline Berry Carlson, PA-C
• Dallan Carlson
• David Carlson
• Emily R. Carlson, OTR/L
• Grace Carlson
• Jack Carlson

• Student in an Organized Health Care Education/Training Program in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.