NPIMap

Organization Active NPI

Kathleen S Carson DDS Inc

  • Customized Equipment (DME)
  • Agoura Hills, CA
National Provider Identifier
1265916175
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
KATHLEEN S CARSON DDS INC
Practice address
30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434
Phone
(818) 889-0400
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Kathleen S Carson, DDSNPI 1124035787
Title
Owner
Phone
(818) 889-0400

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
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434

Mailing address

30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5434
Phone (818) 889-0400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1265916175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 270",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-889-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 270",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-889-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN S CARSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-889-0400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.