Individual provider Active NPI

Mary Grace Carson, DVM

  • Veterinarian
  • Thornton, CO
National Provider Identifier
1184059917
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
7940 Issued in CO
Practice address
16575 Washington St
Thornton, CO 80023-8971
Phone
(720) 977-7124
Fax
(720) 977-7147
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 7940 CO Primary

Addresses

Primary practice location

16575 Washington St
Thornton, CO 80023-8971

Mailing address

16575 Washington St
Thornton, CO 80023-8971
Phone (720) 977-7124

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1184059917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16575 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238971",
            "telephone_number": "720-977-7124",
            "fax_number": "720-977-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16575 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238971",
            "telephone_number": "720-977-7124",
            "fax_number": "720-977-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CO",
            "license": "7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.