Active NPI
Alan B Carlson, DPM
- Podiatrist
- Tucson, AZ
National Provider Identifier
1114958055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 449
- Practice address
- 760 E Pusch View LN
Suite 130
Tucson, AZ 85737-9235 - Phone
- (520) 877-3668
- Fax
- (520) 797-0125
- NPI assigned
- Jul 6, 2006
- Last updated
- Feb 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 449 | MN | Primary |
| Podiatrist | 213E00000X | 694 | AZ |
Addresses
Primary practice location
760 E Pusch View LN
Suite 130
Tucson, AZ 85737-9235
Mailing address
760 E Pusch View LN
Sutie 130
Tucson, AZ 85737-9235
Phone (520) 877-3668
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103291 | Other | MN | UCARE - ROSEVILLE |
| 103295 | Other | MN | UCARE HIGHLAND |
| 487052 | Medicaid | AZ | |
| 504025600 | Medicaid | MN | |
| 64599CA | Other | MN | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694 | AZ | MD | Chiropractor |
| 449 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Clinics LTD, P.a. | Podiatrist | Past | Accepting new patients |
| Glenn E Nelson DPM LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Tucson, AZ
- NPI 1235446253
-
- Podiatrist
- Saint Paul, MN
- NPI 1205954278
-
dba Sonoran Foot and Ankle Institute
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1487700878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1114958055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 E PUSCH VIEW LN",
"address_2": "SUTIE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857379235",
"telephone_number": "520-877-3668",
"fax_number": "520-979-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E PUSCH VIEW LN",
"address_2": "SUITE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857379235",
"telephone_number": "520-877-3668",
"fax_number": "520-797-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ALAN",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "449",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "694",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE - ROSEVILLE",
"identifier": "103291",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE HIGHLAND",
"identifier": "103295",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "487052",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504025600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "64599CA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.