Individual provider Active NPI

Adam Nicholas Carson, D.M.D.

  • General Practice Dentistry
  • Miami Beach, FL
National Provider Identifier
1255508339
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17845 Issued in FL
Practice address
100 Lincoln Rd # Cu7
Miami Beach, FL 33139-2013
Phone
(305) 532-6977
Fax
(305) 532-0050
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17845 FL Primary

Addresses

Primary practice location

100 Lincoln Rd # Cu7
Miami Beach, FL 33139-2013

Mailing address

100 Lincoln Rd # Cu7
Miami Beach, FL 33139-2013
Phone (305) 532-6977

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

LicenseStateTypeSpecialty
DN17845FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Smiles Family Dental, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1255508339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINCOLN RD # CU7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392013",
            "telephone_number": "305-532-6977",
            "fax_number": "305-532-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINCOLN RD # CU7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392013",
            "telephone_number": "305-532-6977",
            "fax_number": "305-532-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ADAM",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.