Active NPI
David Carlson
- Family Medicine Physician
- Grand Junction, CO
National Provider Identifier
1205064433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48950
- Practice address
- 1160 Patterson Rd
Grand Junction, CO 81506-8275 - Phone
- (970) 298-2800
- Fax
- (970) 298-7522
- NPI assigned
- Jun 25, 2009
- Last updated
- Apr 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48950 | CO | Primary |
Addresses
Primary practice location
1160 Patterson Rd
Grand Junction, CO 81506-8275
Mailing address
1160 Patterson Rd
PO Box 62
Grand Junction, CO 81506-8275
Phone (970) 298-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 24, 2018 through Sep 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48950 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1205064433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 PATTERSON RD",
"address_2": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068275",
"telephone_number": "970-298-2800",
"fax_number": "970-298-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068275",
"telephone_number": "970-298-2800",
"fax_number": "970-298-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "48950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.