Active NPI
Gregory Mark Carlson, D.D.S.
- Dentist
- Carlsbad, CA
National Provider Identifier
1184889990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2299
- Practice address
- 2955 Ocean Street
Apt 17
Carlsbad, CA 92008 - Phone
- (406) 338-6292
- NPI assigned
- Jul 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2299 | MT | Primary |
Addresses
Primary practice location
2955 Ocean Street
Apt 17
Carlsbad, CA 92008
Mailing address
2955 Ocean St
Apt 17
Carlsbad, CA 92008-2954
Phone (760) 434-8341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270074 | Medicaid | MT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2299 | MT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1184889990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 OCEAN ST",
"address_2": "APT 17",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082954",
"telephone_number": "760-434-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 OCEAN STREET",
"address_2": "APT 17",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "406-338-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "GREGORY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "2299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270074",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
- Carlsbad Village Family Practice Medical Associates Inc
- Carlsbad Village Family Practice Medical Associates, Inc
- Carlsbad Village Family Practice Medical Associates, Inc
- Carlsbad Village Orthodontics
- Carlsbadds Pediatric Smiles
- Kathleen Carlson, NP
- Christine Brede Carlton, RDN
- Vivian W Carlton, PA-C
- Starr Carlyle-Coalson
- Blaine Carman, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.