Active NPI
Jason Carlson, D.D.S.
- General Practice Dentistry
- Rockwall, TX
National Provider Identifier
1255747218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29950
- Practice address
- 515 E Interstate 30
Rockwall, TX 75087-5408 - Phone
- (214) 771-4603
- NPI assigned
- Jul 10, 2014
- Last updated
- Jul 10, 2014
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29950 | TX | Primary |
Addresses
Primary practice location
515 E Interstate 30
Rockwall, TX 75087-5408
Mailing address
515 E Interstate 30
Rockwall, TX 75087-5408
Phone (214) 771-4603
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 |
|---|---|---|---|
| 29950 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Rockwall PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1255747218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E INTERSTATE 30",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875408",
"telephone_number": "214-771-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E INTERSTATE 30",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875408",
"telephone_number": "214-771-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JASON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
- Care United Medical Center of Rockwall,PLLC
- Cari Foote Ma LPC LMFT & Associates PLLC
- Lisa Carlock
- Carlos Arauz Pacheco MD PA (Diabetes and Endocrinology Clinical Consultants of Texas)
- Carlos Compassionate Care (Compassionate Care CN)
- Cynthia Ann Carmack, LCSW
- Candi Carney, NP-C
- Lexus Carolina
- Aimee Lorelei Carr, M.D.
- Judith Carreon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.