Organization Active NPI

Carson Family Dentistry LLC

  • General Practice Dentistry
  • Beachwood, OH
National Provider Identifier
1205326162
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20891 Issued in OH
Legal business name
CARSON FAMILY DENTISTRY LLC
Practice address
24300 Chagrin Blvd
Beachwood, OH 44122
Phone
(216) 464-0442
NPI assigned
May 16, 2018
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
R CHRISTOPHER CARSON DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Dr. R Christopher Carson, DDSNPI 1134172828
Title
Owner
Phone
(440) 543-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20891 OH Primary

Addresses

Primary practice location

24300 Chagrin Blvd
Beachwood, OH 44122

Mailing address

8505 Tanglewood SQ Ste T17
Chagrin Falls, OH 44023-6400
Phone (440) 543-1234

National Provider Directory

National Provider Directory
Part of
R Christopher Carson DDS Inc

Locations

24300 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 292-6883

8505 Tanglewood Sq
Ste T17
Chagrin Falls, OH 44023
Phone (440) 543-1234

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1205326162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 TANGLEWOOD SQ STE T17",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236400",
            "telephone_number": "440-543-1234",
            "fax_number": "440-543-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-464-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON FAMILY DENTISTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R CHRISTOPHER CARSON DDS, INC",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-543-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.