Individual provider Active NPI

Eric R. Carlson, MD, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Toledo, OH
National Provider Identifier
1174616171
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
35.147724 Issued in OH
Practice address
3000 Arlington Ave Ste 2
Toledo, OH 43614-2595
Phone
(419) 383-3759
Fax
(419) 383-2962
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.147724 OH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD38394 TN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 7998 TN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 35.147724 OH Primary

Addresses

Primary practice location

3000 Arlington Ave Ste 2
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other practice location 1

1930 Alcoa Hwy
Ste 335
Knoxville, TN 37920-1585
Phone (865) 305-9022

Other identifiers 1

IdentifierTypeStateIssuer
3227456MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041002000155 TN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5294704565 Practice locations: Knoxville, TN
I20250411002073 OH Practitioner - General SurgeryPractitioner - Otolaryngology 5294704565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD38394TNMDOral & Maxillofacial Surgery (D.M.D.)
35.147724OHMDSurgery Physician
7998TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians, LLC CurrentSince Apr 1, 2025 Accepting new patients
University of Toledo Physicians LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Eric R. Carlson, MD, DMD Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

3000 Arlington Ave
Ste C
Toledo, OH 43614
Phone (419) 383-3759

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

1325 Conference Dr
Ste 2010
Toledo, OH 43614
Phone (419) 383-6644

3000 Arlington Ave
Ste 2C
Toledo, OH 43614
Phone (419) 383-3759

3000 Arlington Ave
#2C
Toledo, OH 43614

3000 Arlington Ave
Ste 2
Toledo, OH 43614
Phone (419) 383-3759

1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1174616171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3759",
            "fax_number": "419-383-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Hwy",
            "address_2": "Ste 335",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201585",
            "country_code": "US",
            "telephone_number": "865-305-9022",
            "fax_number": "865-305-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ERIC",
        "middle_name": "R.",
        "credential": "MD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.147724",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "MD38394",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "7998",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35.147724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3227456",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.